Provider Demographics
NPI:1134924848
Name:STRONG, MALIKA
Entity type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:STRONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 BANKFULL LN APT 104
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-0056
Mailing Address - Country:US
Mailing Address - Phone:240-605-8149
Mailing Address - Fax:
Practice Address - Street 1:3409 BANKFULL LN APT 104
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-0056
Practice Address - Country:US
Practice Address - Phone:240-605-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR251224363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health