Provider Demographics
NPI:1902833247
Name:GLOWACKI, NATALIE A (MFT, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:A
Last Name:GLOWACKI
Suffix:
Gender:F
Credentials:MFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BROOKSIDE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9025
Mailing Address - Country:US
Mailing Address - Phone:610-295-2269
Mailing Address - Fax:
Practice Address - Street 1:1011 BROOKSIDE RD STE 200
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9025
Practice Address - Country:US
Practice Address - Phone:610-295-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF 000279106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA003073227OtherHIGHMARK BLUE SHIELD
PA238853OtherUBH
PA50126782OtherCAPITAL BLUE CROSS
PA556939OtherVALUE OPTIONS
PA183010OtherMHNET
PA556939OtherVALUE OPTIONS