| Doctor Name: | STEVEN C VANGELDER |
| NPI Number: | 1023102779 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CAP |
| License Number: | CAP 3318 |
| Business Practice Address: | 131 W Main St Tavares, FL - 327783809 |
| Business Phone Number: | 3527425665 |
| Business Fax Number: | 3523438801 |
| Mailing Address: | 131 W Main St, TAVARES |
| State: | FL |
| Postal Code: | 327783809 |
| Phone Number: | 3527425665 |
| Fax Number: | 3523438801 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 01/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | CAP 3318 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |