Individual
JANN GLIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6811 QUINCY ST, PHILADELPHIA, PA 19119-2663
(215) 514-2130
Mailing address
514 E LANCASTER AVE APT C1, WYNNEWOOD, PA 19096-2348
(215) 514-2130
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS 004336-L
PA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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