Provider Demographics
NPI:1124341052
Name:STRICKLAND, JENNIFER P M (PHD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:P M
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:PIERCE
Other - Last Name:MUNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 HICKSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-2107
Mailing Address - Country:US
Mailing Address - Phone:773-859-1707
Mailing Address - Fax:
Practice Address - Street 1:1900 HICKSTEAD RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-2107
Practice Address - Country:US
Practice Address - Phone:773-859-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-06
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006900103TC0700X
WA60407788103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical