Provider Demographics
NPI:1598026403
Name:TRENT, TERRI LYNNE (MA ED)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNNE
Last Name:TRENT
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 W 23RD ST APT 4D
Mailing Address - Street 2:4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1405
Mailing Address - Country:US
Mailing Address - Phone:212-633-2416
Mailing Address - Fax:212-633-2416
Practice Address - Street 1:415 W 23RD ST APT 4D
Practice Address - Street 2:4D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1405
Practice Address - Country:US
Practice Address - Phone:212-633-2416
Practice Address - Fax:212-633-2416
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist