Provider Demographics
NPI:1275805509
Name:ROWDEN, TRAMPAS J
Entity Type:Individual
Prefix:
First Name:TRAMPAS
Middle Name:J
Last Name:ROWDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:TRAMPAS
Other - Middle Name:J
Other - Last Name:ROWDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:2229 W 2100 S
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9294
Mailing Address - Country:US
Mailing Address - Phone:801-774-9543
Mailing Address - Fax:
Practice Address - Street 1:780 S 2000 W
Practice Address - Street 2:BUILDING E, SUITE #302
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9602
Practice Address - Country:US
Practice Address - Phone:801-425-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7868255-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional