Doctor Name: | DEBORAH RUTH TRENT |
NPI Number: | 1710139621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED |
License Number: | |
Business Practice Address: | 6350 W A J Hwy Talbott, TN - 37877 |
Business Phone Number: | 4235877337 |
Business Fax Number: | 4235860614 |
Mailing Address: | Department 888182, KNOXVILLE |
State: | TN |
Postal Code: | 37921 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 10/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |