Provider Demographics
NPI:1003956251
Name:GLICK, PIPER C (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:PIPER
Middle Name:C
Last Name:GLICK
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 W 761ST TANK BATTALION AVE
Mailing Address - Street 2:BLDG 2245
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-285-6348
Mailing Address - Fax:
Practice Address - Street 1:58 W 761ST TANK BATTALION AVE
Practice Address - Street 2:BLDG 2245
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-285-6348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ529231H00000X
NJ231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist