Doctor Name: | JOSIE STRODTMAN |
NPI Number: | 1295104149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CRC, TLMHC |
License Number: | 079637 |
Business Practice Address: | 3515 Spring St Davenport, IA - 528072100 |
Business Phone Number: | 5633406714 |
Business Fax Number: | |
Mailing Address: | 307 W Main St, Po Box 937 MARSHALLTOWN |
State: | IA |
Postal Code: | 501585796 |
Phone Number: | 6413527000 |
Fax Number: | 1866496407 |
NPI Enumeration Date: | 09/22/2015 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 079637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |