Doctor Name: | DR. PAGAN JOHANNA STRAUSS |
NPI Number: | 1013097476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 0810003389 |
Business Practice Address: | 420 3rd St Ne Charlottesville, VA - 229024620 |
Business Phone Number: | 5406615034 |
Business Fax Number: | 4349791762 |
Mailing Address: | 420 3rd St Ne, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229024620 |
Phone Number: | 5406615034 |
Fax Number: | 4349791762 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810003389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |