Provider Demographics
NPI:1457095002
Name:STRZEPEK, JASON
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:STRZEPEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RUSSELL CONWELL CT APT 304
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2280
Mailing Address - Country:US
Mailing Address - Phone:978-992-2847
Mailing Address - Fax:
Practice Address - Street 1:5 RUSSELL CONWELL CT APT 304
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2280
Practice Address - Country:US
Practice Address - Phone:978-992-2847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor