Provider Demographics
NPI:1336426584
Name:STRICKLAND, ATHENIA DINEE
Entity Type:Individual
Prefix:MRS
First Name:ATHENIA
Middle Name:DINEE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 N WISCOMB ST
Mailing Address - Street 2:APT 12
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5478
Mailing Address - Country:US
Mailing Address - Phone:907-982-7408
Mailing Address - Fax:
Practice Address - Street 1:2524 W WARWICK CT
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-9805
Practice Address - Country:US
Practice Address - Phone:907-982-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child