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General NPI Number Information
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NPI Number | 1114457207
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Entity Type | Organization
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Legal Business Name | VERONIKA GLUSKER, PSY.D., INC., A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 06/13/2017
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Provider Practice Location Address
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Address Line | 15615 CASTLEWOODS DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-4806
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Country | US
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Telephone | 424-284-9478
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Fax |
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Provider Business Mailing Address
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Address Line | 4724 KESTER AVE UNIT 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. VERONIKA GLUSKER
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Credential | PSY.D.
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Telephone | 818-370-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PSY29010
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License Number State | CA
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