Provider Demographics
NPI:1013919463
Name:GELMAN, MARCIA GADLIN (LMFT,MED)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:GADLIN
Last Name:GELMAN
Suffix:
Gender:F
Credentials:LMFT,MED
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:G
Other - Last Name:GELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT,MED
Mailing Address - Street 1:1017 MUMMA RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WORMLEYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1145
Mailing Address - Country:US
Mailing Address - Phone:717-234-3348
Mailing Address - Fax:717-737-6549
Practice Address - Street 1:1017 MUMMA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WORMLEYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17043-1145
Practice Address - Country:US
Practice Address - Phone:717-234-3348
Practice Address - Fax:717-737-6549
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
PAMF000037103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist