Provider Demographics
NPI:1811155682
Name:STRICHERZ, MATHIAS (EDD, CCDC III, CPS)
Entity type:Individual
Prefix:DR
First Name:MATHIAS
Middle Name:
Last Name:STRICHERZ
Suffix:
Gender:M
Credentials:EDD, CCDC III, CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3109
Mailing Address - Country:US
Mailing Address - Phone:605-624-3333
Mailing Address - Fax:605-624-6226
Practice Address - Street 1:213 FOREST AVE
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-3109
Practice Address - Country:US
Practice Address - Phone:605-624-3333
Practice Address - Fax:605-624-6226
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD284103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD655 1760Medicaid