Provider Demographics
NPI:1346330305
Name:TRIGONA, SUSAN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:TRIGONA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ZUMMO WAY
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3137
Mailing Address - Country:US
Mailing Address - Phone:610-203-4742
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE STE 18D
Practice Address - Street 2:ROSEMONT PLAZA
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1565
Practice Address - Country:US
Practice Address - Phone:610-203-4742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional