Provider Demographics
NPI:1588067789
Name:STREICHER MILLER, ALICIA (CR-PC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:STREICHER MILLER
Suffix:
Gender:F
Credentials:CR-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 DUBLIN RD.
Mailing Address - Street 2:SUITE 208D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215
Mailing Address - Country:US
Mailing Address - Phone:614-800-6852
Mailing Address - Fax:
Practice Address - Street 1:633 BLENHEIM RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3223
Practice Address - Country:US
Practice Address - Phone:740-485-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1000523101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional