Provider Demographics
NPI:1548434996
Name:STANGER, HOLLY
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:STANGER
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 1:74 POTTSTOWN PIKE
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9569
Mailing Address - Country:US
Mailing Address - Phone:610-666-0598
Mailing Address - Fax:610-458-8856
Practice Address - Street 1:74 POTTSTOWN PIKE
Practice Address - Street 2:SUITE 1001
Practice Address - City:CHESTER SPRONGS
Practice Address - State:PA
Practice Address - Zip Code:19335
Practice Address - Country:US
Practice Address - Phone:610-666-0598
Practice Address - Fax:610-458-8856
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional