Provider Demographics
NPI:1033514575
Name:STROHECKER, ANDREA MARIE (CNS, LDN)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE
Last Name:STROHECKER
Suffix:
Gender:F
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CEDAR POINT RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4505
Mailing Address - Country:US
Mailing Address - Phone:443-852-3312
Mailing Address - Fax:
Practice Address - Street 1:9 CEDAR POINT RD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4505
Practice Address - Country:US
Practice Address - Phone:443-852-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3764133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education