Provider Demographics
NPI:1528163151
Name:ROLAND, MICHELE ANN (MA LPC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANN
Last Name:ROLAND
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 WINDMILL RD
Mailing Address - Street 2:STE 4
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1679
Mailing Address - Country:US
Mailing Address - Phone:610-670-7010
Mailing Address - Fax:610-670-7910
Practice Address - Street 1:2917 WINDMILL RD
Practice Address - Street 2:STE 4
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1679
Practice Address - Country:US
Practice Address - Phone:610-670-7010
Practice Address - Fax:610-670-7910
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002815101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2319237000OtherINDEP BC PERSONAL CHOICE
PA50020226OtherCAPITAL BLUE CROSS
PA592170000OtherMAGELLAN HEALTH SERVICES
PA7414233OtherAETNA
PA550256OtherVALUEOPTIONS