Provider Demographics
NPI:1023893880
Name:GLOSSNER, LESLIE ANN (MS)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN
Last Name:GLOSSNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 N BETHLEHEM PIKE STE AF
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2109
Mailing Address - Country:US
Mailing Address - Phone:215-206-1749
Mailing Address - Fax:
Practice Address - Street 1:1018 N BETHLEHEM PIKE STE AF
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2109
Practice Address - Country:US
Practice Address - Phone:215-206-1749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program