Provider Demographics
NPI:1174878359
Name:STROUSE, JUDITH KRISTEN (DC)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KRISTEN
Last Name:STROUSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:52 CASTLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1896
Mailing Address - Country:US
Mailing Address - Phone:412-566-4130
Mailing Address - Fax:412-364-1990
Practice Address - Street 1:8400 PERRY HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5235
Practice Address - Country:US
Practice Address - Phone:412-566-4130
Practice Address - Fax:412-364-1990
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor