Provider Demographics
NPI:1437488277
Name:TRINDLE, DAVID BRUCE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRUCE
Last Name:TRINDLE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1323
Mailing Address - Country:US
Mailing Address - Phone:215-272-5056
Mailing Address - Fax:866-234-5117
Practice Address - Street 1:107 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1323
Practice Address - Country:US
Practice Address - Phone:215-272-5056
Practice Address - Fax:866-234-5117
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002772101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC002772OtherLPC LICENSE NUMBER