| Glaser Fornesic Group | |
|
16530 Ventura Blvd 601 Encino CA 91436-4554 | |
| (818) 382-9920 | |
| (818) 385-1155 |
| Full Name | Glaser Fornesic Group |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 16530 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Gary Golter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8183829920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glaser Fornesic Group 16530 Ventura Blvd 601 Encino CA 91436-4554 Ph: (818) 382-9920 | Glaser Fornesic Group 16530 Ventura Blvd 601 Encino CA 91436-4554 Ph: (818) 382-9920 |
| NPI Number | 1548538945 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548538945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | G40041 (California) | Primary |
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