Lillian Glass, PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009019 Issued in NY

Practice address

10600 Wilshire Blvd Apt 610
Los Angeles, CA 90024-4568

Phone

(310) 849-3776

Fax

(424) 248-3934

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1912500281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 WILSHIRE BLVD APT 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244568",
            "telephone_number": "310-849-3776",
            "fax_number": "424-248-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 WILSHIRE BLVD APT 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244568",
            "telephone_number": "310-849-3776",
            "fax_number": "424-248-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LILLIAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "009019",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisa Glasper
• John Anthony Glaspy, MD
• Wendy Olivia Glass Givens, MSW
• Autumn Nechele Glass
• David Eugene Glass, MD
• Maraisa Shira Glass
• John E Glassco, M.D.
• Annabah Pearl Glasser, MD
• Jamie Glassford
• Sari Lynn Glassgold, PH.D.

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.