| NPI | 1639709439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GLICKMAN Owner/Psychologist 646-961-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |