Provider Demographics
NPI:1073941647
Name:STRICKLER AND STRICKLER A PROFESSIONAL PSYCHOTHERAPY CORPORA
Entity Type:Organization
Organization Name:STRICKLER AND STRICKLER A PROFESSIONAL PSYCHOTHERAPY CORPORA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:STRICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-698-6647
Mailing Address - Street 1:13006 PHILADELPHIA ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4210
Mailing Address - Country:US
Mailing Address - Phone:562-698-6647
Mailing Address - Fax:
Practice Address - Street 1:13006 PHILADELPHIA ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4210
Practice Address - Country:US
Practice Address - Phone:562-698-6647
Practice Address - Fax:562-698-6072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11286103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty