Provider Demographics
NPI:1699802785
Name:STRAYER, LINDA C (LSW, MSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:STRAYER
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 HIGH MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GARDNERS
Mailing Address - State:PA
Mailing Address - Zip Code:17324-8865
Mailing Address - Country:US
Mailing Address - Phone:717-512-6846
Mailing Address - Fax:
Practice Address - Street 1:502 N BALTIMORE AVE
Practice Address - Street 2:SUITE A2
Practice Address - City:MOUNT HOLLY SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17065-1602
Practice Address - Country:US
Practice Address - Phone:717-512-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW-011545-L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker