Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | MF000037 | PA |
Y | 103T00000X | Psychologist | MF000037 | PA |
NPI | 1013919463 |
---|---|
Provider Name | Marcia Gadlin Gelman |
First Address | Wormleysburg, PA 17043-1145 |
Second Address | Wormleysburg, PA 17043-1145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 08/07/2007 |