Healthcare Provider Details

I. General information

NPI: 1821273061
Provider Name (Legal Business Name): KAREN S SILVERMAN GLICK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CHESTNUT ST C/O HARMONY MHS INC.
PHILADELPHIA PA
19103-4316
US

IV. Provider business mailing address

449 RIGHTERS MILL RD
PENN VALLEY PA
19072-1422
US

V. Phone/Fax

Practice location:
  • Phone: 215-568-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS-006895-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: