MEDICARE: NATALIE GLASSBURG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist
2	106H00000X	Marriage & Family Therapist	125233

General Provider Information

NPI Number	:	1407301377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE GLASSBURG

Provider Business Mailing Address
First Line	:	4510 CHARLOTTE AVE APT 219
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-3967
Country	:	US
Telephone Number	:	901-299-4967
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 LINCOLN WAY
Second Line	:	APT. 1
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1740
Country	:	US
Telephone Number	:	901-299-4967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2016
Last Update Date	:	09/14/2023

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Directions to “ NATALIE GLASSBURG ” Practice Location

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