Basic Information
| Provider Information | |||||||||
| NPI: | 1114977592 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRONG | ||||||||
| FirstName: | CARRIE ANN | ||||||||
| MiddleName: | HOOD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1881 N UNIVERSITY DR | ||||||||
| Address2: | STE 104 | ||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330716093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543400888 | ||||||||
| FaxNumber: | 9543460909 | ||||||||
| Practice Location | |||||||||
| Address1: | 1881 N UNIVERSITY DR STE 104 | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330716093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543400888 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | PY10060 | FL | N | Behavioral Health & Social Service Providers | Psychologist | 103TR0400X | 6301012509 | MI | N | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | 103G00000X | PY10060 | FL | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
ID Information
| ID | Type | State | Issuer | Description | CS012509 | 01 | PRIORITY HEALTH | OTHER |