Provider Demographics
NPI:1487714614
Name:STROHL, MICHELE VICTORIA (MA)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:VICTORIA
Last Name:STROHL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 WESTGATE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7480
Mailing Address - Country:US
Mailing Address - Phone:610-332-1705
Mailing Address - Fax:610-332-1707
Practice Address - Street 1:2045 WESTGATE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7480
Practice Address - Country:US
Practice Address - Phone:610-332-1705
Practice Address - Fax:610-332-1707
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007981-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005985716OtherAETNA
PA01083801OtherCAPITAL BLUE CROSS
PA892768OtherHIGHMARK BLUE SHIELD
PA892768OtherHIGHMARK BLUE SHIELD