Provider Demographics
NPI:1326657792
Name:STREBLER, PELIN D (PHD)
Entity type:Individual
Prefix:
First Name:PELIN
Middle Name:D
Last Name:STREBLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:PELIN
Other - Middle Name:D
Other - Last Name:CATAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 93092
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85070-3092
Mailing Address - Country:US
Mailing Address - Phone:602-551-6044
Mailing Address - Fax:480-542-2204
Practice Address - Street 1:4435 E CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7649
Practice Address - Country:US
Practice Address - Phone:602-551-6044
Practice Address - Fax:480-542-2204
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005699103G00000X
TX38586103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist