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NPI Profile for Dr GLENN R TREZZA in BOSTON, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
VA |
261QV0200X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI # | 1639182256 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 08/14/2006 | |
| Last updated | 10/02/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLENN R TREZZA
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GLENN R TREZZA, PhD