Provider Demographics
NPI:1508364035
Name:SOCOLOW, HOLLY GARDNER (MHS)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:GARDNER
Last Name:SOCOLOW
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 DICKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5327
Mailing Address - Country:US
Mailing Address - Phone:717-265-3396
Mailing Address - Fax:
Practice Address - Street 1:2714 DICKINSON AVE
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5327
Practice Address - Country:US
Practice Address - Phone:717-265-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor