Provider Demographics
NPI:1336282169
Name:STRANG, LOUISE MARY (PHD)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:MARY
Last Name:STRANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 AUTUMN SPRINGS CT
Mailing Address - Street 2:C-21
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8277
Mailing Address - Country:US
Mailing Address - Phone:615-778-0333
Mailing Address - Fax:
Practice Address - Street 1:504 AUTUMN SPRINGS CT
Practice Address - Street 2:C-21
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8277
Practice Address - Country:US
Practice Address - Phone:615-778-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP664103T00000X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3684515Medicare ID - Type Unspecified