Individual
HOWARD NORMAN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 MOODY CT, SUITE 101, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
Mailing address
5225 WHITE OAK AVE, UNIT 7, ENCINO, CA 91316-2457
(818) 996-5153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G16848
CA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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