Individual provider · Type 1 NPI
Jacob Drault Glickman, PSYD, MA, LPC
Clinical Psychologist · Philadelphia, PA
Practice location
4441 Sansom St
Philadelphia, PA 19104-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PS019712 (PA) |
| Professional Counselor | 101YP2500X | PC011819 (PA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1689089229
Jacob Drault Glickman, PSYD, MA, LPC's National Provider Identifier is 1689089229, issued on Jun 23, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 26, 2025.