Provider Demographics
NPI:1831741875
Name:GLEN F. STROBEL, PH.D., LLC
Entity type:Organization
Organization Name:GLEN F. STROBEL, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:STROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-234-2507
Mailing Address - Street 1:1128 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2710
Mailing Address - Country:US
Mailing Address - Phone:419-234-2507
Mailing Address - Fax:419-222-2292
Practice Address - Street 1:1128 W MARKET ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2710
Practice Address - Country:US
Practice Address - Phone:419-234-2507
Practice Address - Fax:419-222-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty