Provider Demographics
NPI:1225243728
Name:HOLLANDER-GOLDFEIN, BEA (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEA
Middle Name:
Last Name:HOLLANDER-GOLDFEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BEA
Other - Middle Name:
Other - Last Name:HOLLANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:353 BALA AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2736
Mailing Address - Country:US
Mailing Address - Phone:610-664-4991
Mailing Address - Fax:610-617-8618
Practice Address - Street 1:4025 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3054
Practice Address - Country:US
Practice Address - Phone:215-382-6680
Practice Address - Fax:215-386-1743
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003429L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist