IAN GLICKMAN


Address: 519 Larkins Bridge Dr, Downingtown, PA 19335-4544
Phone: 6104589135

IAN GLICKMAN (NPI# 1144645631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144645631
Entity Type Individual
Full Name IAN GLICKMAN
Credential PH.D.
Practice Address 519 Larkins Bridge Dr
Downingtown
PA 19335-4544
Practice Telephone 6104589135
Mailing Telephone 6104589135
Enumeration Date 2014-02-20
Last Update Date 2014-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 519 LARKINS BRIDGE DR
City DOWNINGTOWN
State PA
Zip Code 19335-4544

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1952659831 Debra Ann Silveri-hiller Occupational Therapist 148 Lake Drive, Downingtown, PA 19335 2012-08-27
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1760751853 Sherry Lynn Luke Speech-Language Pathologist 455 Boot Rd., Educational Service Center, Downingtown, PA 19335 2011-12-20
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1780241661 Gregory Tucker Psychologist 780 E Market St Ste 220&230, West Chester, PA 19382-4882 2019-05-25
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Competitor

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City DOWNINGTOWN
Zip Code 19335

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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