MEDICARE: DANIEL P. STRICKLER, PH.D., P.A.

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1649468125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL P. STRICKLER, PH.D., P.A.

Provider Business Mailing Address
First Line	:	8307 PHILADELPHIA RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-2927
Country	:	US
Telephone Number	:	410-687-7700
Fax Number	:	410-687-7702

Provider Business Practice Location Address
First Line	:	8307 PHILADELPHIA RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-2927
Country	:	US
Telephone Number	:	410-687-7700
Fax Number	:	410-687-7702

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST/ADMINISTRATOR
Name	:	DR. DANIEL P STRICKLER
Credential	:	PH.D.
Telephone Number	:	410-687-7700

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	11/16/2010

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