Healthcare Provider Details

I. General information

NPI: 1811993876
Provider Name (Legal Business Name): WENDY R. GALSON PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 E MOUNT AIRY AVE
PHILADELPHIA PA
19119-1142
US

IV. Provider business mailing address

434 E MOUNT AIRY AVE
PHILADELPHIA PA
19119-1142
US

V. Phone/Fax

Practice location:
  • Phone: 215-247-5545
  • Fax: 215-242-5401
Mailing address:
  • Phone: 215-247-5545
  • Fax: 215-242-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS 003772 L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: