Healthcare Provider Details

I. General information

NPI: 1124922075
Provider Name (Legal Business Name): STRICKLER PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 RAINES RD
SANDUSKY MI
48471-9731
US

IV. Provider business mailing address

2230 RAINES RD
SANDUSKY MI
48471-9731
US

V. Phone/Fax

Practice location:
  • Phone: 989-550-0659
  • Fax:
Mailing address:
  • Phone: 989-550-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SAMANTHA MARIE STRICKLER
Title or Position: OWNER
Credential: TLLP
Phone: 989-550-0659