MEDICARE: DR. GEORGE STRICKER PH.D.

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	04079	MD

General Provider Information

NPI Number	:	1699772517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE STRICKER PH.D.

Provider Business Mailing Address
First Line	:	3100 N LEISURE WORLD BLVD
Second Line	:	#1021
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-8341
Country	:	US
Telephone Number	:	301-598-0969
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 N LEISURE WORLD BLVD
Second Line	:	#1021
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-8341
Country	:	US
Telephone Number	:	301-598-0969
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. GEORGE STRICKER PH.D.” Practice Location

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