Provider Demographics
NPI:1447708102
Name:GLAZER, SARI LYNNE (PSYD)
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:LYNNE
Last Name:GLAZER
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WASHINGTON ST STE 308
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4692
Mailing Address - Country:US
Mailing Address - Phone:646-470-1742
Mailing Address - Fax:
Practice Address - Street 1:132 WASHINGTON ST STE 308
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4692
Practice Address - Country:US
Practice Address - Phone:646-470-1742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023058103TS0200X, 103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool