MEDICARE: DR. WENDY R. GALSON PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS 003772 L	PA
2	103TS0200X	School Psychologist		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811993876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY R. GALSON PSY.D

Provider Business Mailing Address
First Line	:	434 E MOUNT AIRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1142
Country	:	US
Telephone Number	:	215-247-5545
Fax Number	:	215-242-5401

Provider Business Practice Location Address
First Line	:	434 E MOUNT AIRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1142
Country	:	US
Telephone Number	:	215-247-5545
Fax Number	:	215-242-5401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	09/11/2025

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