IndividualActive
Angela Glick, LCP
NPI 1144377540 · Clinical Psychologist · Logan, WV
Provider details
- NPI number
- 1144377540
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LCP
- Sex
- Female
- Sole proprietor
- No
- License
- 776 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
306 Main St
Logan, WV 25601-3906
Phone: (304) 752-7707
Fax: (304) 752-0772
Approximate (ZIP-level) locationGet directions
Mailing address
701 Madison Ave
Madison, WV 25130-1699
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.