ANTHONY J STRELICH (NPI# 1427062074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427062074 |
| Entity Type | Individual |
| Full Name | ANTHONY J STRELICH |
| Credential | PHD |
| Practice Address |
1755 N 400 E Ste 102 Logan UT 84341-1960 |
| Mailing Address |
4196 Hollow Rd Logan UT 84321-6323 |
| Practice Telephone | 4357530272 |
| Practice Fax Number | 4357532252 |
| Mailing Telephone | 4352453660 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1101742501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECTHEALTH | 107007733101 | 01 |
| UT | PEHP | 8958 | 01 |
| UT | DMBA | 244814 | 01 |
| Street Address |
1755 N 400 E STE 102 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
| 1598216731 | Bruce R. Johns, Ph.d., P.C. | Psychologist | 246 E 1260, N, Logan, UT 84341-6244 | 2016-10-24 |
| 1679865000 | Noel Carson Gill | Psychologist | 642 N 1000 W, Ste 107, Logan, UT 84321-3130 | 2011-05-03 |
| 1033408547 | David W. Smart | Psychologist | 175 W 1400 N. Ste A, Lds Family Services, Logan, UT 84341 | 2011-04-05 |
| 1578739215 | Martin J. Toohill | Psychologist | 6813 Old Main Hl, Center for Persons With Disabilities, Logan, UT 84322-6813 | 2008-05-02 |
| 1316097538 | Nicole Smith | Psychologist | Rt. 10 Three Mile Curve, Logan, WV 25601-9998 | 2007-01-11 |
| 1831102052 | Bruce R. Johns | Psychologist | 246 E 1260 N, Logan, UT 84341 | 2006-08-15 |
| 1063044865 | Rick Anthony Cruz | Psychologist | 6405 Old Main Hill, Logan, UT 84322-6405 | 2020-02-10 |
| 1073059580 | Monique Frazier, Ph.d., P.C. | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2017-01-09 |
| 1881146223 | Rebecca Kate Blais | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2016-11-02 |
| Find all providers in LOGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.