Judith S Kolman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS 003424 L Issued in PA

Practice address

1062 Lancaster Avenue
Suite 9
Rosemont, PA 19010

Phone

(610) 525-1510

Fax

(610) 525-2586

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1205026424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 LANCASTER AVENUE",
            "address_2": "SUITE 9",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-1510",
            "fax_number": "610-525-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 LANCASTER AVENUE",
            "address_2": "SUITE 9",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-1510",
            "fax_number": "610-525-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLMAN",
        "first_name": "JUDITH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS 003424 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00162193",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea S. Ettingoff, PH.D.
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• John R Benson, M.D. (P.a.)
• Lisa D. Leone, M.D.
• Ronald A Lohner, M.D.
• Ravy Sreng Lu, M.D.
• Susan Mathes, PH.D.
• Patricia Anne McAndrews, MHS, LPC, CAADC

• Psychologist in Rosemont, PA
• Providers in Rosemont, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.