Provider Demographics
NPI:1215332242
Name:STROSSER, HELENE
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:STROSSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ANDERSON LN
Mailing Address - Street 2:APT. 139G
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1228
Mailing Address - Country:US
Mailing Address - Phone:520-409-2133
Mailing Address - Fax:
Practice Address - Street 1:500 E ANDERSON LN
Practice Address - Street 2:APT. 139G
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1228
Practice Address - Country:US
Practice Address - Phone:520-409-2133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities