| Doctor Name: | GERALD ANTHONY STRAG |
| NPI Number: | 1003868134 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | 0769 |
| Business Practice Address: | 1425 S Glenburnie Rd Suite 1 New Bern, NC - 285622610 |
| Business Phone Number: | 2526330014 |
| Business Fax Number: | 2526333793 |
| Mailing Address: | 1425 S Glenburnie Rd, Suite 1 NEW BERN |
| State: | NC |
| Postal Code: | 285622610 |
| Phone Number: | 2526330014 |
| Fax Number: | 2526333793 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 0769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |