Healthcare Provider Details

I. General information

NPI: 1669318697
Provider Name (Legal Business Name): ALEXANDER R STROH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 RIDGELY AVE STE 13
ANNAPOLIS MD
21401-1417
US

IV. Provider business mailing address

9562 SEA GULL CT
NORTH BEACH MD
20714-3014
US

V. Phone/Fax

Practice location:
  • Phone: 443-949-5322
  • Fax:
Mailing address:
  • Phone: 443-771-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17817
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: