Provider Demographics
NPI:1447316278
Name:GLASSER, HILARY W (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:W
Last Name:GLASSER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1770 E LAS OLAS BLVD
Mailing Address - Street 2:#603
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2457
Mailing Address - Country:US
Mailing Address - Phone:954-525-5722
Mailing Address - Fax:954-583-9575
Practice Address - Street 1:6950 CYPRESS RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2382
Practice Address - Country:US
Practice Address - Phone:954-583-8831
Practice Address - Fax:954-583-9575
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6809103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74065Medicare ID - Type Unspecified