Provider Demographics
NPI:1306460381
Name:GLOSSER, RICHARD XAVIER
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:XAVIER
Last Name:GLOSSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-1065
Mailing Address - Country:US
Mailing Address - Phone:412-977-8699
Mailing Address - Fax:
Practice Address - Street 1:708 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1065
Practice Address - Country:US
Practice Address - Phone:412-977-8699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool