Provider Demographics
NPI:1194859512
Name:TRIMBLE, COLLEEN PAIGE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:PAIGE
Last Name:TRIMBLE
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 1:806 KEMP RD W
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4514
Mailing Address - Country:US
Mailing Address - Phone:919-943-0947
Mailing Address - Fax:
Practice Address - Street 1:100 WESTGREEN DR
Practice Address - Street 2:SUITE 205
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4417
Practice Address - Country:US
Practice Address - Phone:919-943-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3338103TC0700X
TX31974103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical