Provider Demographics
NPI:1700931763
Name:STROHL, DARLE ALBERT (EDD)
Entity Type:Individual
Prefix:DR
First Name:DARLE
Middle Name:ALBERT
Last Name:STROHL
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2536
Mailing Address - Country:US
Mailing Address - Phone:617-332-7233
Mailing Address - Fax:617-527-5748
Practice Address - Street 1:158 CABOT ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2536
Practice Address - Country:US
Practice Address - Phone:617-332-7233
Practice Address - Fax:617-527-5748
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2424103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASTW50695Medicare ID - Type Unspecified