Provider Demographics
NPI:1063375525
Name:STRICKLER, JESSE GABRIEL (PHD)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:GABRIEL
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL OVAL W.
Mailing Address - Street 2:CEDARWOOD HALL ROOM 306
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1571
Mailing Address - Country:US
Mailing Address - Phone:914-849-0540
Mailing Address - Fax:
Practice Address - Street 1:20 HOSPITAL OVAL W.
Practice Address - Street 2:CEDARWOOD HALL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1571
Practice Address - Country:US
Practice Address - Phone:914-849-0540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027704103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist