Healthcare Provider Details

I. General information

NPI: 1013919463
Provider Name (Legal Business Name): MARCIA GADLIN GELMAN LMFT,M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MARCIA G GELMAN LMFT,M.ED

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date: 03/22/2006
Reactivation Date: 03/28/2006

III. Provider practice location address

1017 MUMMA RD SUITE 102
WORMLEYSBURG PA
17043-1145
US

IV. Provider business mailing address

1017 MUMMA RD SUITE 102
WORMLEYSBURG PA
17043-1145
US

V. Phone/Fax

Practice location:
  • Phone: 717-234-3348
  • Fax: 717-737-6549
Mailing address:
  • Phone: 717-234-3348
  • Fax: 717-737-6549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberMF000037
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: