Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Drault Glickman, PSYD, MA, LPC

Individual provider Clinical Psychologist · NPI 1689089229

Dr. Jacob Drault Glickman, PSYD, MA, LPC is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4441 Sansom St
Philadelphia, PA 19104-2915
Phone: (267) 223-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS019712 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC011819 (PA)

Record details

NPI number1689089229
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , MA , LPC
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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