FREDERIC GLUCK MA NPI 1770930422

NPI Information

NPI: 1770930422
Provider Name: FREDERIC GLUCK, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
72 HARREL STREET
MORRISVILLE, VT
ZIP 05661
Phone: (802) 888-5026
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Frederic Gluck, MA is a mental health counselor in Morrisville, VT. Frederic Gluck, MA NPI is 1770930422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

72 HARREL STREET
MORRISVILLE, VT
ZIP 05661
Phone: (802) 888-5026
Fax: (802) 888-6393

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	068.0079910	OTHER	VERMONT	LCMHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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