Individual
NICOLE LEIGH GLICK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 CHESTNUT STREET, NEEDHAM, MA 02492
(781) 449-1143
(781) 449-5992
Mailing address
395 CAPTAIN EAMES CIRCLE, ASHLAND, MA 01721
(617) 417-2623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8237
MA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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