Provider Demographics
NPI:1063686111
Name:ZELAYA-KENDALL, KAREN ANITA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANITA
Last Name:ZELAYA-KENDALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MARKET ST STE 3600
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-7334
Mailing Address - Country:US
Mailing Address - Phone:484-557-2367
Mailing Address - Fax:484-840-5613
Practice Address - Street 1:1650 MARKET ST STE 3600
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-7334
Practice Address - Country:US
Practice Address - Phone:484-557-2367
Practice Address - Fax:484-840-5613
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-19
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016415103TA0700X, 103TM1800X, 103TC0700X
CAPSY34533103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities