Healthcare Provider Details

I. General information

NPI: 1548188501
Provider Name (Legal Business Name): NANCY MARIE STRAUB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 EMILY AVE
ROHNERT PARK CA
94928-1913
US

IV. Provider business mailing address

7600 LELAND ST
SEBASTOPOL CA
95472-4133
US

V. Phone/Fax

Practice location:
  • Phone: 707-588-5715
  • Fax:
Mailing address:
  • Phone: 707-477-0879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: