Gerald Anthony Strag
Clinical Child & Adolescent Psychologist
1425 S Glenburnie Rd Suite 1
New Bern
, North Carolina 28562-2610
Gerald Anthony Strag
Clinical Child & Adolescent Psychologist
1425 S Glenburnie Rd Suite 1
New Bern
, North Carolina 28562-2610
(252) 633-3793
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Gerald Anthony Strag
- 1425 S Glenburnie Rd Suite 1
- New Bern, NC
- Zip : 28562-2610
- Fax : (252) 633-3793
- Phone : (252) 633-0014
Second Address
- Gerald Anthony Strag
- 1425 S Glenburnie Rd Suite 1
- New Bern, NC
- Zip : 28562-2610
- Fax : (252) 633-3793
- Phone : (252) 633-0014
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 0769 | NC |
National Provider Identifier
| NPI | 1003868134 |
|---|---|
| Provider Name | Gerald Anthony Strag |
| First Address | New Bern, NC 28562-2610 |
| Second Address | New Bern, NC 28562-2610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 27/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04703 | BCBS (01) | NC |
| 6000014 | (05) | NC |
| OTHOOO | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.