Provider Demographics
NPI:1588709406
Name:STRAHAN, ESTHER Y (PHD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:Y
Last Name:STRAHAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W HIGH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3973
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:830 W HIGH ST STE 202
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3973
Practice Address - Country:US
Practice Address - Phone:419-996-4008
Practice Address - Fax:419-996-4007
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6055103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2608753Medicaid
OHQ37471Medicare UPIN
OHSTCP30841Medicare ID - Type Unspecified