Individual
DAVID M. GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
313 S 16TH ST, PHILADELPHIA, PA 19102-4908
(215) 290-0222
Mailing address
15 SABINE AVE, NARBERTH, PA 19072-1720
(215) 290-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC006052
PA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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