MEDICARE: KATIE STRITZEL LEP

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	103T00000X	Psychologist	4484	CA

General Provider Information

NPI Number	:	1730986373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE STRITZEL LEP

Provider Business Mailing Address
First Line	:	4340 TULANE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1447
Country	:	US
Telephone Number	:	562-545-3433
Fax Number	:

Provider Business Practice Location Address
First Line	:	4340 TULANE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1447
Country	:	US
Telephone Number	:	562-545-3433
Fax Number	:

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

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	03/05/2025

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