Provider Demographics
NPI:1063400398
Name:RICHMAN, CAROL M (PHD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 DENBEIGH DR
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-2868
Mailing Address - Country:US
Mailing Address - Phone:267-664-0233
Mailing Address - Fax:
Practice Address - Street 1:246 W BROAD ST
Practice Address - Street 2:SUITE 6
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1244
Practice Address - Country:US
Practice Address - Phone:215-536-2656
Practice Address - Fax:215-536-2659
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006166L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01891401OtherCAPITAL BLUE CROSS
PA0688908000OtherINDEPENDENCE BLUE CROSS
PA150184000OtherMAGELLAN BEHAVIORAL HEALT
PA7347014OtherAETNA
PA520842OtherHIGHMARK
PA520842K1SMedicare ID - Type Unspecified
PA01891401OtherCAPITAL BLUE CROSS