Healthcare Provider Details

I. General information

NPI: 1780648204
Provider Name (Legal Business Name): RONALD C STRIANO PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MUIRFIELD LANE
MENDHAM NJ
07945-1234
US

IV. Provider business mailing address

PO BOX 413
SCIOTA PA
18354-0413
US

V. Phone/Fax

Practice location:
  • Phone: 973-886-7453
  • Fax: 570-402-1144
Mailing address:
  • Phone: 973-886-7453
  • Fax: 570-402-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35S100285000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: