Dr Jacob Drault Glickman, PSYD, MA, LPC - Counselor in Philadelphia, PA

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Dr Jacob Drault Glickman, PSYD, MA, LPC is a Psychologist - Clinical based in Philadelphia, Pennsylvania. Dr Jacob Drault Glickman is licensed to practice in Pennsylvania (license number PS019712) and his current practice location is 215 S Broad St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 567-1111.

NPI number for Dr Jacob Drault Glickman is 1689089229 and his current mailing address is 4441 Sansom St, Philadelphia, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689089229.

Contact Information

Dr Jacob Drault Glickman, PSYD, MA, LPC
215 S Broad St,
Philadelphia, PA 19107-5325
(215) 567-1111
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Jacob Drault Glickman
GenderMale
SpecialityPsychologist - Clinical
Location215 S Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689089229
  • Provider Enumeration Date: 06/23/2014
  • Last Update Date: 08/16/2024

Medical Identifiers

Medical identifiers for Dr Jacob Drault Glickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689089229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional PC011819 (Pennsylvania)Secondary
103TC0700XPsychologist - Clinical PS019712 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Drault Glickman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Drault Glickman, PSYD, MA, LPC
4441 Sansom St,
Philadelphia, PA 19104-2915

Ph: (267) 223-7931		Dr Jacob Drault Glickman, PSYD, MA, LPC
215 S Broad St,
Philadelphia, PA 19107-5325

Ph: (215) 567-1111

Reviews and Comments


Psychologist in Philadelphia, PA


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