Provider Demographics
NPI:1205026424
Name:KOLMAN, JUDITH S (PHD)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:S
Last Name:KOLMAN
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 1:1062 LANCASTER AVENUE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ROSEMONT
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-525-1510
Mailing Address - Fax:610-525-2586
Practice Address - Street 1:1062 LANCASTER AVENUE
Practice Address - Street 2:SUITE 9
Practice Address - City:ROSEMONT
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-525-1510
Practice Address - Fax:610-525-2586
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 003424 L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00162193OtherBLUE SHIELD