Provider Demographics
NPI:1326000878
Name:STRICKLER, JUDITH L
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:L
Last Name:STRICKLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-0283
Mailing Address - Country:US
Mailing Address - Phone:717-909-9750
Mailing Address - Fax:717-909-9752
Practice Address - Street 1:3901 HARTZDALE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7843
Practice Address - Country:US
Practice Address - Phone:717-909-9750
Practice Address - Fax:717-909-9752
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007182L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50003850OtherCBC PROVIDER #
PAST1665630OtherHIGMARK PROVIDER #