Individual provider · Type 1 NPI

Theresa Gladstone, MA

Student in an Organized Health Care Education/Training Program · Shaker Heights, OH

NPI number 1811560345 Active

Practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Mailing address

24 Lyman Cir
Shaker Heights, OH 44122-2111

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811560345

Theresa Gladstone, MA's National Provider Identifier is 1811560345, issued on Jul 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shaker Heights, OH. The record was last updated on Jul 22, 2021.