Provider Demographics
NPI:1215032362
Name:STRIEKER, MARSHA LANE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:LANE
Last Name:STRIEKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 BALTIMORE DR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-2020
Mailing Address - Country:US
Mailing Address - Phone:619-850-8879
Mailing Address - Fax:619-460-7968
Practice Address - Street 1:5480 BALTIMORE DR
Practice Address - Street 2:SUITE 211
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-2020
Practice Address - Country:US
Practice Address - Phone:619-850-8879
Practice Address - Fax:619-460-7968
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT34254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist