Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindel S Glicksman, MA-CCC

Individual provider Speech-Language Pathologist · NPI 1679198485

Mindel S Glicksman, MA-CCC is a Speech-Language Pathologist in Passaic, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

12 Gould St
Passaic, NJ 07055-5310
Phone: (973) 330-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00686400 (NJ)

Record details

NPI number1679198485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-CCC
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

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