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NPI Code Detail

MEDICARE: MICHELE ANN ROLAND MA LPC

MEDICARE:   MICHELE ANN ROLAND  MA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC002815PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12319237000OTHERPAINDEP BC PERSONAL CHOICE
250020226OTHERPACAPITAL BLUE CROSS
3592170000OTHERPAMAGELLAN HEALTH SERVICES
47414233OTHERPAAETNA
5550256OTHERPAVALUEOPTIONS

General Provider Information

NPI Number : 1528163151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE ANN ROLAND MA LPC
Provider Business Mailing Address
First Line : 2917 WINDMILL RD
Second Line : STE 4
City : SINKING SPRING
State : PA
Zip : 19608-1679
Country : US
Telephone Number : 610-670-7010
Fax Number : 610-670-7910
Provider Business Practice Location Address
First Line : 2917 WINDMILL RD
Second Line : STE 4
City : SINKING SPRING
State : PA
Zip : 19608-1679
Country : US
Telephone Number : 610-670-7010
Fax Number : 610-670-7910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 09/04/2012

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Practice Location Address:
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Practice Location Address:
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Practice Location Address:
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Directions to “ MICHELE ANN ROLAND MA LPC” Practice Location

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