Healthcare Provider Details

I. General information

NPI: 1093745218
Provider Name (Legal Business Name): MARCIA GADLIN GELMAN MARRIAGE AND FAMILY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

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 Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000037
License Number StatePA

VIII. Authorized Official

Name: MARCIA GADLIN GELMAN
Title or Position: OWNER, THERAPIST
Credential: LMFT
Phone: 717-234-3348