Individual
MARY ANN M STRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 RIDGE ST, SUITE # 105, COUNCIL BLUFFS, IA 51503-4643
(712) 396-7500
Mailing address
257 N 118TH ST, OMAHA, NE 68154-2216
(402) 333-5078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
00157
IA
103TC0700X
Clinical Psychologist
Primary
00526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00526
MEDICAL LICENSE
IA
05
—
0731968
—
IA
Enumeration date
06/12/2006
Last updated
07/08/2007
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