Provider Demographics
NPI:1003427030
Name:STRICKLER, HALI (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:
Last Name:STRICKLER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W MAPLE AVE
Mailing Address - Street 2:#1050
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109
Mailing Address - Country:US
Mailing Address - Phone:610-906-5442
Mailing Address - Fax:
Practice Address - Street 1:2301 BURROUGHS MILL CIR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1279
Practice Address - Country:US
Practice Address - Phone:610-906-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014490235Z00000X
NJ41YS00966200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist