Doctor Name: | DR. STEPHANIE JOYCE TRAYNOR |
NPI Number: | 1043418916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | B1-0000744 |
Business Practice Address: | 1213 Old Lancaster Pike Hockessin, DE - 197079560 |
Business Phone Number: | 3025934675 |
Business Fax Number: | 3022352672 |
Mailing Address: | 5 Bayard Ct, WILMINGTON |
State: | DE |
Postal Code: | 198052855 |
Phone Number: | 3025934675 |
Fax Number: | 3022352672 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | B1-0000744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |