Individual
HILLARY GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
717 HALSEY ST, LOWR LEVEL, BROOKLYN, NY 11233-1206
(917) 589-0016
(516) 977-3266
Mailing address
717 HALSEY ST, LOWR LEVEL, BROOKLYN, NY 11233-1206
(212) 875-7454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011217
NY
103TP0814X
Psychoanalysis Psychologist
011217
NY
103TP2701X
Group Psychotherapy Psychologist
011217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097092
—
NY
Enumeration date
11/21/2006
Last updated
10/27/2020
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