Provider Demographics
NPI:1639432560
Name:SCHOENLE, TRINA ELLEN (MS ED)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:ELLEN
Last Name:SCHOENLE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5544 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5406
Mailing Address - Country:US
Mailing Address - Phone:716-580-3976
Mailing Address - Fax:716-580-3978
Practice Address - Street 1:5544 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5406
Practice Address - Country:US
Practice Address - Phone:716-580-3976
Practice Address - Fax:716-580-3978
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1339724OtherNY STATE TEACHING CERTIFICATION