Susan Glick, PHD

NPI 1649063470 · on the registry since 2025 · sole proprietor

Practice

Address: 1703 5th Ave Ste 304
San Rafael, CA 94901
Phone: (510) 381-2984
Organisation at this address: Jennea R Wood
Mikol S Davis Child & Family Counseling A Prof Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California