Glenda Clark Deutsch, DIPLOMA

Primary specialty

ReflexologistTaxonomy code 173C00000X

Practice address

104 Rodeo Lane
Lords Valley, PA 18428-9155

Phone

(570) 290-1858

Fax

(570) 775-6423

NPI assigned

Sep 25, 2013

Last updated

Dec 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1265868913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 HEMLOCK FARMS",
            "city": "LORDS VALLEY",
            "state": "PA",
            "postal_code": "184289155",
            "telephone_number": "570-290-1858",
            "fax_number": "570-775-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RODEO LANE",
            "city": "LORDS VALLEY",
            "state": "PA",
            "postal_code": "184289155",
            "telephone_number": "570-290-1858",
            "fax_number": "570-775-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "GLENDA",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "DIPLOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN541614",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stuart Barr, M.D., M.B.A.
• Michele Louise Bianculli-Kolp
• Frank Deluca, PH.D.
• Tamar R Dresner, CMT
• Diana M Fedorisin, RD, LDN
• Steven L. Follansbee, O.D.
• Pamela Gaeng
• Dong Hun Han

• Reflexologist in Lords Valley, PA
• Providers in Lords Valley, PA by specialty
• Reflexologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.