Provider Demographics
NPI:1639754559
Name:TRENCHARD, TALOR RAE (MS, LPA, (PSYD CAN))
Entity Type:Individual
Prefix:MRS
First Name:TALOR
Middle Name:RAE
Last Name:TRENCHARD
Suffix:
Gender:F
Credentials:MS, LPA, (PSYD CAN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 WILDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-3145
Mailing Address - Country:US
Mailing Address - Phone:903-491-1236
Mailing Address - Fax:
Practice Address - Street 1:3737 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9462
Practice Address - Country:US
Practice Address - Phone:903-491-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36217103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist