Provider Demographics
NPI:1558671883
Name:STRALKA, BENJAMIN B
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:B
Last Name:STRALKA
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 1:107 PARMAC RD
Mailing Address - Street 2:STE. 2
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2298
Mailing Address - Country:US
Mailing Address - Phone:530-891-7284
Mailing Address - Fax:
Practice Address - Street 1:107 PARMAC RD
Practice Address - Street 2:STE. 2
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2298
Practice Address - Country:US
Practice Address - Phone:530-891-7284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health