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Matthew C Glidden

Psychologist

Behavioral Health & Social Service Providers

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW GLIDDEN.

Based on the most recent information from CMS, provider Matthew C Glidden is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1023418597
Provider Type
Individual
Full Name
Glidden, Matthew C
Title
Dr.
Credential
PSYD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/2/2014
Last Updated
3/18/2021

Contact Information

Practice Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(909) 989-4055

Unlisted Fax

Mailing Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(909) 989-4055

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY31153 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Matthew C Glidden

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gunn Behavioral Care Of California, Pc

Lockhart-Pettaway, Stefanie

Sunny Pschological Services Inc

Lupien, Christopher J

Empowered Living Psychological Services, Inc.

Chovanec, Tracy

Lupien, Charyeea Na'Chelle

Adhami, Sepideh

Wysocki, Steve Robert

Swan Psychological Services, Inc.