Provider Demographics
NPI:1659119170
Name:STRUM, HONEY
Entity type:Individual
Prefix:
First Name:HONEY
Middle Name:
Last Name:STRUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RUSSI
Other - Middle Name:
Other - Last Name:STRUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6607 AMLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2603
Mailing Address - Country:US
Mailing Address - Phone:410-868-7471
Mailing Address - Fax:
Practice Address - Street 1:6607 AMLEIGH RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2603
Practice Address - Country:US
Practice Address - Phone:410-868-7471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician