MEDICARE: MR. GUY SCOTT STRAWDER LMFT

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	0717001500	VA

General Provider Information

NPI Number	:	1588145452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GUY SCOTT STRAWDER LMFT

Provider Business Mailing Address
First Line	:	1380 CENTRAL PARK BLVD STE 205
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-602-2545
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 CENTRAL PARK BLVD STE 205
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-602-2545
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	03/21/2024

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