Provider Demographics
NPI:1396279394
Name:STRAHM, CAREY
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:
Last Name:STRAHM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAREY
Other - Middle Name:ELLEN
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11926 SGT KOEHLER CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79908-3246
Mailing Address - Country:US
Mailing Address - Phone:502-533-9541
Mailing Address - Fax:
Practice Address - Street 1:11926 SGT KOEHLER CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79908-3246
Practice Address - Country:US
Practice Address - Phone:502-533-9541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106S00000XOther106S00000X - BEHAVIOR TECHNICIAN