Provider Demographics
NPI:1346506227
Name:TRAPP, BARBARA WALSH (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:WALSH
Last Name:TRAPP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530733
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48153-0733
Mailing Address - Country:US
Mailing Address - Phone:734-432-1950
Mailing Address - Fax:734-432-0325
Practice Address - Street 1:15821 MARSHA ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1216
Practice Address - Country:US
Practice Address - Phone:734-432-1950
Practice Address - Fax:734-432-0325
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2015381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional