Provider Demographics
NPI:1770784068
Name:HANDLEMAN ODONNELL, HOLLI (LCSW)
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:
Last Name:HANDLEMAN ODONNELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SUGAR MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-3805
Mailing Address - Country:US
Mailing Address - Phone:215-205-7292
Mailing Address - Fax:215-914-1663
Practice Address - Street 1:720 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1313
Practice Address - Country:US
Practice Address - Phone:215-233-2425
Practice Address - Fax:215-233-2435
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0141301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical