Healthcare Provider Details

I. General information

NPI: 1942242888
Provider Name (Legal Business Name): JUDITH ANNE STRICKLAND MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MECHANIC ST
HOPE VALLEY RI
02832-0746
US

IV. Provider business mailing address

PO BOX 747
HOPE VALLEY RI
02832-0746
US

V. Phone/Fax

Practice location:
  • Phone: 401-364-7705
  • Fax: 401-364-9104
Mailing address:
  • Phone: 401-743-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: