Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PY 01212 | MO |
NPI | 1023092798 |
---|---|
Provider Name | Dr. Louise M Glotzbach |
First Address | Leawood, KS 66209-1601 |
Second Address | Kansas City, MO 64131-4035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 08/07/2007 |