Provider Demographics
NPI:1033188974
Name:STRICKLIN, GARY J (PHD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:STRICKLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2038 CARIBOU DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4325
Mailing Address - Country:US
Mailing Address - Phone:970-484-5168
Mailing Address - Fax:970-225-3932
Practice Address - Street 1:2038 CARIBOU DR
Practice Address - Street 2:SUITE 201
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4325
Practice Address - Country:US
Practice Address - Phone:970-484-5168
Practice Address - Fax:970-225-3932
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO066106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist