Provider Demographics
NPI:1104118900
Name:STRACHAN, JOHN WEIR JR (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WEIR
Last Name:STRACHAN
Suffix:JR
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1905
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-1905
Mailing Address - Country:US
Mailing Address - Phone:813-523-8973
Mailing Address - Fax:
Practice Address - Street 1:1109 N PARSONS AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3105
Practice Address - Country:US
Practice Address - Phone:813-662-4214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist