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NPI Code Detail

MEDICARE: DR. SCOTT CURTIS STRADER PHD

MEDICARE:  DR. SCOTT CURTIS STRADER  PHD
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
1103T00000XPsychologistPY0005328FL

General Provider Information

NPI Number : 1407886500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT CURTIS STRADER PHD
Provider Business Mailing Address
First Line : 926 16TH ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 926 16TH ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-1211
Country : US
Telephone Number : 727-550-9360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SCOTT CURTIS STRADER PHD” Practice Location

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