| Organization Name: | GAIL VANT ZELFDE, PH.D., LLC |
| NPI Number: | 1346684602 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL VANT ZELFDE (OWNER) |
| Mailing Address: | 158 E Butler Ave Suite 3 Ambler |
| State: | PA US |
| Postal Code: | 190024436 |
| Phone Number: | 6109410196 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2013 |
| NPI Last Update Date: | 04/17/2013 |
| 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: | |