Provider Demographics
NPI:1114382322
Name:STRICKER, CHRISTEN ROSE (BA)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:ROSE
Last Name:STRICKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BLACK MATT RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9705
Mailing Address - Country:US
Mailing Address - Phone:610-858-6017
Mailing Address - Fax:
Practice Address - Street 1:29 BLACK MATT RD
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-9705
Practice Address - Country:US
Practice Address - Phone:610-858-6017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool