Doctor Name: | DR. GAIL VANT ZELFDE |
NPI Number: | 1053397596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PS005338L |
Business Practice Address: | 158 E Butler Ave Suite 3 Ambler, PA - 190024436 |
Business Phone Number: | 6109410196 |
Business Fax Number: | |
Mailing Address: | 158 E Butler Ave, Suite 3 AMBLER |
State: | PA |
Postal Code: | 190024436 |
Phone Number: | 6109410196 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS005338L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |