Individual
BRUCE GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-1877
Mailing address
43 HATCH DR, PO BOX 1018, CARIBOU, ME 04736-2161
(207) 498-6431
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
351
ME
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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