Individual
DR. BENJAMIN THOMAS GLIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4390
NJ
103G00000X
Clinical Neuropsychologist
Primary
PS016372
PA
103T00000X
Psychologist
4390
NJ
103TC0700X
Clinical Psychologist
4390
NJ
Other
Enumeration date
02/01/2007
Last updated
08/25/2021
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