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Organization
WELLNESS ROAD PSYCHOLOGY, PLLC
Active
Organization
WELLNESS ROAD PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GLICKMAN PSYD (OWNER/PSYCHOLOGIST)
(646) 961-4973
Entity
Organization
Contact information
Practice address
140 BROADWAY # 4657, NEW YORK, NY 10005-1108
(646) 961-4973
Mailing address
15 N ECKAR ST, IRVINGTON, NY 10533-1510
(914) 671-4860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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