Provider Demographics
NPI:1134326093
Name:ROIZMAN, HOLLIE MARA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HOLLIE
Middle Name:MARA
Last Name:ROIZMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 S PENN OAK RD
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1953
Mailing Address - Country:US
Mailing Address - Phone:215-661-9706
Mailing Address - Fax:
Practice Address - Street 1:455 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3403
Practice Address - Country:US
Practice Address - Phone:215-653-0363
Practice Address - Fax:215-653-0361
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist