Healthcare Provider Details

I. General information

NPI: 1851519995
Provider Name (Legal Business Name): ROBERT GEORGE GLASER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SOUTHMOOR CIR NE
DAYTON OH
45429-2451
US

IV. Provider business mailing address

15 SOUTHMOOR CIR NE
DAYTON OH
45429-2451
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-7877
  • Fax:
Mailing address:
  • Phone: 937-293-7877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberOA00166
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: