Provider Demographics
NPI:1538367958
Name:HRIVNAK, ANNA MARIE
Entity type:Individual
Prefix:MS
First Name:ANNA MARIE
Middle Name:
Last Name:HRIVNAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 SHELLY LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3117
Mailing Address - Country:US
Mailing Address - Phone:856-429-3671
Mailing Address - Fax:
Practice Address - Street 1:1305 SHELLY LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3117
Practice Address - Country:US
Practice Address - Phone:856-429-3671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health