Provider Demographics
NPI:1326268848
Name:STRAUSS, CAROLE LILLI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:LILLI
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 RIVER REACH DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-1831
Mailing Address - Country:US
Mailing Address - Phone:772-226-5191
Mailing Address - Fax:772-226-7682
Practice Address - Street 1:777 37TH ST STE B107
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7301
Practice Address - Country:US
Practice Address - Phone:772-532-4712
Practice Address - Fax:772-226-7682
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5910103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical