MEDICARE: PHIL A STRIEGEL PHD, L.M.F.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	00113	IA

General Provider Information

NPI Number	:	1043299621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHIL A STRIEGEL PHD, L.M.F.T.

Provider Business Mailing Address
First Line	:	2101 ACT CIR
Second Line	:	SUITE 202
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9512
Country	:	US
Telephone Number	:	319-337-6483
Fax Number	:	319-337-4208

Provider Business Practice Location Address
First Line	:	2101 ACT CIR
Second Line	:	SUITE 202
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9512
Country	:	US
Telephone Number	:	319-337-6483
Fax Number	:	319-337-4208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/08/2007

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