Individual provider · Type 1 NPI
Glenn R. Trezza, PhD
VA Clinic/Center · Boston, MA
NPI number
1639182256
Active
Practice location
1 S Market St Ste 4
Boston, MA 02109-6145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 6647 (MA) |
| Clinical Psychologist | 103TC0700X | 011533 (NY) |
| VA Clinic/Center | 261QV0200X | 011533 (NY) |
| VA Clinic/Center Primary | 261QV0200X | 6647 (MA) |
VA Clinic/Center: Definition to come...
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About NPI 1639182256
Glenn R. Trezza, PhD's National Provider Identifier is 1639182256, issued on Aug 14, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Boston, MA. The record was last updated on Oct 2, 2020.