Individual
DR. ELISABETH ZAL ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1315 WALNUT STREET, SUITE 1105, PHILADELPHIA, PA 19107
(215) 550-1404
Mailing address
240 S 21ST ST, PHILADELPHIA, PA 19103-4819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PS017060
PA
Other
Enumeration date
09/18/2008
Last updated
09/09/2011
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