Provider Demographics
NPI:1194945345
Name:STRAHLE, GARY KEITH (MFT PHD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:KEITH
Last Name:STRAHLE
Suffix:
Gender:M
Credentials:MFT PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10630 DOWNEY
Mailing Address - Street 2:#200
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241
Mailing Address - Country:US
Mailing Address - Phone:562-862-9919
Mailing Address - Fax:562-862-9919
Practice Address - Street 1:10630 DOWNEY
Practice Address - Street 2:#200
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241
Practice Address - Country:US
Practice Address - Phone:562-862-9919
Practice Address - Fax:562-862-9919
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT14336106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist