Provider Demographics
NPI:1356399497
Name:STROHL, TOM ASHLEY
Entity type:Individual
Prefix:
First Name:TOM
Middle Name:ASHLEY
Last Name:STROHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W TILGHMAN ST
Mailing Address - Street 2:SUITE 147
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9109
Mailing Address - Country:US
Mailing Address - Phone:610-366-7774
Mailing Address - Fax:610-366-9253
Practice Address - Street 1:5000 W TILGHMAN ST
Practice Address - Street 2:SUITE 147
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9109
Practice Address - Country:US
Practice Address - Phone:610-366-7774
Practice Address - Fax:610-366-9253
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005900L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist