National Provider Identifier
Betty Jean Gloss
Betty Jean Gloss is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 229-7660.
Profile Overview
- NPI
- 1316013774
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 28, 2006
- Last Updated
- April 29, 2020
Practice Location
- 408 W State St
- Ithaca, NY 14850-5220
Phone: (607) 229-7660
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316013774
- Entity Type
- Individual
- Last Name
- Gloss
- First Name
- Betty
- Middle Name
- Jean
- Mailing Street Address
- 408 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5220
- Mailing Country
- US
- Mailing Phone
- (607) 229-7660
- Practice Street Address
- 408 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5220
- Practice Country
- US
- Practice Phone
- (607) 229-7660
- Enumeration Date
- November 28, 2006
- Last Updated
- April 29, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 01079267 (NY)