Provider Demographics
NPI:1124581707
Name:BARGHEN-HEWLETT, TROYA
Entity Type:Individual
Prefix:
First Name:TROYA
Middle Name:
Last Name:BARGHEN-HEWLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 LINCOLN AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1122
Mailing Address - Country:US
Mailing Address - Phone:914-548-0284
Mailing Address - Fax:
Practice Address - Street 1:40 LINCOLN AVE APT 3E
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1122
Practice Address - Country:US
Practice Address - Phone:914-548-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency