Basic Information
| Provider Information | |||||||||
| NPI: | 1235118977 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROLAND | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | SUSANN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSS LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 N 7TH ST UNIT 2 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639093 | ||||||||
| FaxNumber: | 7172632252 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 N 7TH ST UNIT 2 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172677480 | ||||||||
| FaxNumber: | 7172677403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2006 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CW012060 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.