DR. MARC STRAWDERMAN ED.D., BSL NPI 1003446980

Counselor (Mental Health) in Carlisle, PA

Individual Male Counselor Mental Health

About MARC STRAWDERMAN

Marc Strawderman is a provider established in Carlisle, Pennsylvania and his medical specialization is counselor. The NPI number of Marc Strawderman is 1003446980 and was assigned on January 2020. The practitioner's primary taxonomy code is 101YM0800X with license number BH004706 (PA). The provider is registered as an individual and his NPI record was last updated January 2020.

NPI

1003446980

Provider NameDR. MARC STRAWDERMAN ED.D., BSL
Provider Location Address11 SPRINT DR CARLISLE, PA 17015
Provider Mailing Address410 N PRINCE ST LANCASTER, PA 17603
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-20-2020
Last Update Date01-20-2020

Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.BH004706
License StatePA

Business Address

DR. MARC STRAWDERMAN ED.D., BSL
11 SPRINT DR
CARLISLE, PA
ZIP 17015
Phone: (717) 386-5237
Fax: (717) 386-5243

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Mailing Address

DR. MARC STRAWDERMAN ED.D., BSL
410 N PRINCE ST
LANCASTER, PA
ZIP 17603
Phone: (717) 560-7917
Fax: (717) 560-6452

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376603225 SAVITA SOOD MD
Individual
Obstetrics & Gynecology11 SPRINT DR
CARLISLE, PA 17015
(717) 218-9830
1588615694 MUHAMMAD A QURESHI MD
Individual
Pediatrics (Pediatric Gastroenterology)11 SPRINT DR SUITE B
CARLISLE, PA 17015
(717) 422-5546
1700268562 AMANDA DIONNE LEE PA-C
Individual
Physician Assistant (Medical)11 SPRINT DR SUITE 4
CARLISLE, PA 17015
(717) 960-0052

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.