| Gail Vant Zelfde, Ph.d., Llc | |
|
158 E Butler Ave Suite 3 Ambler PA 19002-4436 | |
| (610) 941-0196 | |
| Not Available |
| Full Name | Gail Vant Zelfde, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 158 E Butler Ave, Ambler, Pennsylvania |
| Authorized Official Name and Position | Gail Vant Zelfde (OWNER) |
| Authorized Official Contact | 6109410196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail Vant Zelfde, Ph.d., Llc 158 E Butler Ave Suite 3 Ambler PA 19002-4436 Ph: (610) 941-0196 | Gail Vant Zelfde, Ph.d., Llc 158 E Butler Ave Suite 3 Ambler PA 19002-4436 Ph: (610) 941-0196 |
| NPI Number | 1346684602 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 0244479566 |
|---|---|
| Medicare Enrollment ID | O20130618000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346684602 | NPI | - | NPPES |
| 001661409 | Other | PA | AMERIHEALTH |
| 5616328 | Other | PA | AETNA |
| 0261731000 | Other | PA | PERSONAL CHOICE |
| 487643000 | Other | PA | MAGELLAN |
| 466001 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS005338L (Pennsylvania) | Primary |
| Provider Name | Gail Vant Zelfde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053397596 PECOS PAC ID: 7214920230 Enrollment ID: I20040406000861 |
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