Provider Demographics
NPI:1942242888
Name:STRICKLAND, JUDITH ANNE (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANNE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:HOPE VALLEY
Mailing Address - State:RI
Mailing Address - Zip Code:02832-0746
Mailing Address - Country:US
Mailing Address - Phone:401-743-5353
Mailing Address - Fax:
Practice Address - Street 1:5 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:HOPE VALLEY
Practice Address - State:RI
Practice Address - Zip Code:02832-0746
Practice Address - Country:US
Practice Address - Phone:401-364-7705
Practice Address - Fax:401-364-9104
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI0007682OtherCHAMPUS
RI1020890OtherBEACON
RIJS16621Medicaid
RI406813OtherRI BLUE CHIP
RI30620-7OtherRI BLUE CROSS BLUE SHIELD
RI62-41018OtherUNITED BEHAVIORAL HEALTH
RI341616OtherMHN/TRICARE