Provider Demographics
NPI:1649468125
Name:DANIEL P. STRICKLER, PH.D., P.A.
Entity type:Organization
Organization Name:DANIEL P. STRICKLER, PH.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:STRICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-687-7700
Mailing Address - Street 1:8307 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2927
Mailing Address - Country:US
Mailing Address - Phone:410-687-7700
Mailing Address - Fax:410-687-7702
Practice Address - Street 1:8307 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-2927
Practice Address - Country:US
Practice Address - Phone:410-687-7700
Practice Address - Fax:410-687-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDN893T478Medicare UPIN