Healthcare Provider Details

I. General information

NPI: 1689174161
Provider Name (Legal Business Name): KAREN ZELAYA-KENDALL, PH.D. AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MARKET ST STE 3600
PHILADELPHIA PA
19103-7334
US

IV. Provider business mailing address

1650 MARKET ST STE 3600
PHILADELPHIA PA
19103-7334
US

V. Phone/Fax

Practice location:
  • Phone: 484-557-2367
  • Fax: 484-840-5613
Mailing address:
  • Phone: 484-557-2367
  • Fax: 484-840-5613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN ZELAYA-KENDALL
Title or Position: OWNER/PSYCHOLOGIST
Credential: PH.D.
Phone: 484-557-2367