Individual
DR. ALISSA R GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
80 BARCLAY CT, SUITE 4, CHERRY HILL, NJ 08034
(856) 669-9122
Mailing address
80 BARCLAY CENTER, SUITE 4, CHERRY HILL, NJ 08034
(856) 669-9122
(866) 563-5311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4383
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131911
—
NJ
Enumeration date
01/16/2007
Last updated
07/14/2020
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