Provider Demographics
NPI:1700042454
Name:STRAUSS, RICHELLE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:RICHELLE
Middle Name:MARIE
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SE MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-1213
Mailing Address - Country:US
Mailing Address - Phone:888-279-0002
Mailing Address - Fax:833-638-0302
Practice Address - Street 1:64 TOP LN
Practice Address - Street 2:
Practice Address - City:TOPTON
Practice Address - State:NC
Practice Address - Zip Code:28781-6501
Practice Address - Country:US
Practice Address - Phone:888-279-0002
Practice Address - Fax:833-638-0302
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361218442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry