Doctor Name: | CHASE STRINGAM |
NPI Number: | 1811286131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1363 Fillmore St Twin Falls, ID - 833013392 |
Business Phone Number: | 2087367090 |
Business Fax Number: | 2087367089 |
Mailing Address: | 1363 Fillmore St, TWIN FALLS |
State: | ID |
Postal Code: | 833013392 |
Phone Number: | 2087367090 |
Fax Number: | 2087367089 |
NPI Enumeration Date: | 04/07/2011 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |