MEDICARE: DR. ANTHONY L STRICKLAND 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
1	103G00000X	Clinical Neuropsychologist	PSY12223	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY12223	OTHER	CA	STATE LICENSE NUMBER
2	PSY12223	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1699834192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY L STRICKLAND PHD

Provider Business Mailing Address
First Line	:	6101 W CENTINELA AVENUE
Second Line	:	SUITE 211
City	:	CULVER CITY
State	:	CA
Zip	:	90230
Country	:	US
Telephone Number	:	310-642-9595
Fax Number	:	310-642-9590

Provider Business Practice Location Address
First Line	:	6101 W CENTINELA AVE
Second Line	:	SUITE 211
City	:	CULVER CITY
State	:	CA
Zip	:	90230-6337
Country	:	US
Telephone Number	:	310-642-9595
Fax Number	:	310-642-9590

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	04/27/2017

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