Provider Demographics
NPI:1326451402
Name:TRENARY, TIMOTHY S (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:S
Last Name:TRENARY
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SPEAR RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1235
Mailing Address - Country:US
Mailing Address - Phone:201-962-6794
Mailing Address - Fax:
Practice Address - Street 1:19 SPEAR RD
Practice Address - Street 2:SUITE #201
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1235
Practice Address - Country:US
Practice Address - Phone:201-962-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist