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Individual

NOA GLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1518 WALNUT ST, SUITE 307, PHILADELPHIA, PA 19102-3419
(215) 625-9655
Mailing address
1518 WALNUT ST, SUITE 307, PHILADELPHIA, PA 19102-3419

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017049
PA

Other

Enumeration date
07/27/2011
Last updated
08/02/2011
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