Provider Demographics
NPI:1326094178
Name:STRENGER, VIRGINIA EILEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:EILEEN
Last Name:STRENGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:VIRGINIA
Other - Middle Name:E
Other - Last Name:STRENGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:30432 EUCLID AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1577
Mailing Address - Country:US
Mailing Address - Phone:877-734-2031
Mailing Address - Fax:
Practice Address - Street 1:30432 EUCLID AVE STE 221
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1577
Practice Address - Country:US
Practice Address - Phone:877-734-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5628103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000185359OtherANTHEM PIN
OH2205330Medicaid
OH620006493Medicare ID - Type UnspecifiedRAILROAD
OHCP23541Medicare ID - Type Unspecified