Provider Demographics
NPI:1043418916
Name:TRAYNOR, STEPHANIE JOYCE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:JOYCE
Last Name:TRAYNOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BAYARD CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-2855
Mailing Address - Country:US
Mailing Address - Phone:302-593-4675
Mailing Address - Fax:302-235-2672
Practice Address - Street 1:1213 OLD LANCASTER PIKE
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9560
Practice Address - Country:US
Practice Address - Phone:302-593-4675
Practice Address - Fax:302-235-2672
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000744103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical