Healthcare Provider Details

I. General information

NPI: 1376462572
Provider Name (Legal Business Name): ERMINA HODZIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 IVANHOE DR APT 110
MONROEVILLE PA
15146-2668
US

IV. Provider business mailing address

4175 IVANHOE DR APT 110
MONROEVILLE PA
15146-2668
US

V. Phone/Fax

Practice location:
  • Phone: 814-440-2762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020610
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: