| Doctor Name: | DR. HOLLY ZAJAC GASTGEB |
| NPI Number: | 1689923419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS017247 |
| Business Practice Address: | 1150 Thorn Run Rd Suite 110 Moon Twp, PA - 151083102 |
| Business Phone Number: | 4123297778 |
| Business Fax Number: | 4122621555 |
| Mailing Address: | 1150 Thorn Run Rd, Suite 110 MOON TWP |
| State: | PA |
| Postal Code: | 151083102 |
| Phone Number: | 4123297778 |
| Fax Number: | 4122621555 |
| NPI Enumeration Date: | 09/07/2012 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PS017247 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |