Dorothy Strom, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS1068 Issued in ME

Practice address

824 Stillwater Ave
Suite B
Bangor, ME 04401-3614

Phone

(207) 973-8623

Fax

(207) 973-5665

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1396783973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "address_2": "BLAISDELL 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-8623",
            "fax_number": "207-973-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 STILLWATER AVE",
            "address_2": "SUITE B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013614",
            "telephone_number": "207-973-8623",
            "fax_number": "207-973-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "DOROTHY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Diane Stone, PHARM D.
• Jason D Stoner, M.D.
• Stonybrook Mental Health
• Christy Lane Stout, P.T.
• Angela Strandell
• Cara Ann Struble, PHD, LP
• Stuart Ranney
• John Michael Stuart, PA-C
• Richard Stuart, LCSW
• Susan Jean Stuart, LCPC

• Clinical Neuropsychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Neuropsychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.