National Provider Identifier
Michael D Gleason, MS
Michael D Gleason, MS is listed in the NPPES registry with a primary specialty of Intellectual & Developmental Disabilities Psychologist in Penn Yan, NY and a listed phone number of (315) 536-7447.
Profile Overview
- NPI
- 1124478490
- Provider Type
- Individual
- Primary Specialty
- Intellectual & Developmental Disabilities Psychologist
- Enumeration Date
- June 17, 2016
- Last Updated
- June 17, 2016
Practice Location
- 235 North Ave
- Penn Yan, NY 14527-1051
Phone: (315) 536-7447
Mailing Address
- 3300 E Lake RD Unit 7C
- Canandaigua, NY 14424-2353
Specialties
- Intellectual & Developmental Disabilities Psychologist (103TM1800X)
Full Record
- NPI
- 1124478490
- Entity Type
- Individual
- Last Name
- Gleason
- First Name
- Michael
- Middle Name
- D
- Credential
- MS
- Mailing Street Address
- 3300 E Lake RD Unit 7C
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2353
- Mailing Country
- US
- Mailing Phone
- (315) 415-5465
- Practice Street Address
- 235 North Ave
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1051
- Practice Country
- US
- Practice Phone
- (315) 536-7447
- Enumeration Date
- June 17, 2016
- Last Updated
- June 17, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Intellectual & Developmental Disabilities Psychologist (103TM1800X)