Provider Demographics
NPI:1518057801
Name:KRICHER, HOLLY RAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:RAE
Last Name:KRICHER
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 1:101 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7827
Mailing Address - Country:US
Mailing Address - Phone:717-574-9925
Mailing Address - Fax:717-737-1366
Practice Address - Street 1:51 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4212
Practice Address - Country:US
Practice Address - Phone:717-574-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016107103TC0700X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service