Provider Demographics
NPI:1376881532
Name:HARTMAN, HOLLY (PHD, MSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 LEWISBERRY RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:17339-9573
Mailing Address - Country:US
Mailing Address - Phone:717-623-3051
Mailing Address - Fax:
Practice Address - Street 1:231 W CARACAS AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1513
Practice Address - Country:US
Practice Address - Phone:717-298-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0197841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical