Healthcare Provider Details

I. General information

NPI: 1669578688
Provider Name (Legal Business Name): DAVID STRICKLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6017 FALLS RD
BALTIMORE MD
21209-2215
US

IV. Provider business mailing address

6017 FALLS RD
BALTIMORE MD
21209-2215
US

V. Phone/Fax

Practice location:
  • Phone: 315-256-1719
  • Fax:
Mailing address:
  • Phone: 315-256-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number245678-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number245678-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD73337
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: