Provider Demographics
NPI:1790836351
Name:STRINGHAM, EDWARD M (PHD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:STRINGHAM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 N 76TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-1417
Mailing Address - Country:US
Mailing Address - Phone:402-202-1435
Mailing Address - Fax:
Practice Address - Street 1:2231 N 76TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-1417
Practice Address - Country:US
Practice Address - Phone:402-202-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE304103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NER81670Medicare UPIN
NE261066Medicare ID - Type UnspecifiedLINCOLN