Angela Lori Glen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006873-1 Issued in NY

Practice address

590 Giffords Church Rd
Schenectady, NY 12306-5313

Phone

(518) 355-0826

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schonowe Preschool

  • Early Intervention Provider Agency
  • Schenectady, NY
  • NPI 1265685556
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1093952913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 GUILDERLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123061812",
            "telephone_number": "518-355-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 GIFFORDS CHURCH RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123065313",
            "telephone_number": "518-355-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEN",
        "first_name": "ANGELA",
        "middle_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006873-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Frank Giovannone, M.D.
• Anthony J Giso, RPH
• Mariesa Giso
• Carrie Marie Glans, PMHNP
• Stefanie Glass, FNP-C
• Kathryn Glickman, PSY.D.
• Jennifer Glindmyer, PT
• Caitlin Glynn
• Constance L Goetze
• Benjamin Libro Goitz, M.S.ED.

• Speech-Language Pathologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.