Provider Demographics
NPI:1952384455
Name:STROHL, JAMES EMERSON (EDD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EMERSON
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 1:1250 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-3677
Mailing Address - Country:US
Mailing Address - Phone:610-868-1577
Mailing Address - Fax:610-868-8834
Practice Address - Street 1:1250 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3677
Practice Address - Country:US
Practice Address - Phone:610-868-1577
Practice Address - Fax:610-868-8834
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004269-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA45104OtherUNITED BEHAVIORAL HEALTH
PA01824301OtherCAPITAL BLUE CROSS
PA0051319000OtherAMERIHEALTH
PA441527OtherHIGHMARK BLUE SHIELD
PAST441527Medicare ID - Type Unspecified
PA01824301OtherCAPITAL BLUE CROSS