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Contact Information

GLEN T SEGOND, LCSW
117 BROAD ST
STROUDSBURG, PA18360-1534
 Phone: 570-424-6049
 Fax: 570-424-0917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for GLEN T SEGOND · (Male)

NPI # 1629189378
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 44SC05112500
  • PA License # CW004643L
  • PA Other 5013039 AETNA PROVIDER NUMBER
  • PA Other SE690000 HIGHMARK BS FED EMPL PROV
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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