Provider Demographics
NPI:1215505763
Name:STRICKLAND, MICHELE COOLEY- (MED, PHD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:COOLEY-
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MED, PHD
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:COOLEY-STRICKLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, PHD
Mailing Address - Street 1:8261 REES ST
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-7823
Mailing Address - Country:US
Mailing Address - Phone:310-780-4738
Mailing Address - Fax:
Practice Address - Street 1:8261 REES ST
Practice Address - Street 2:
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7823
Practice Address - Country:US
Practice Address - Phone:310-780-4738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0273103T00000X
CA28297103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist