Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 01446 | MD |
Y | 103G00000X | Clinical Psychologist | 01446 | MD |
Y | 103TC0700X | Clinical Psychologist | 01446 | MD |
NPI | 1518155845 |
---|---|
Provider Name | Dr. Meyer D. Glantz |
First Address | Rockville, MD 20852-3901 |
Second Address | Rockville, MD 20852-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 11/10/2007 |