Provider Demographics
NPI:1811540495
Name:TRENHOLME, STEFANIE (MS SLP- CCC)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:TRENHOLME
Suffix:
Gender:F
Credentials:MS SLP- CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346 WESTWOOD BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2125
Mailing Address - Country:US
Mailing Address - Phone:310-923-6323
Mailing Address - Fax:
Practice Address - Street 1:2346 WESTWOOD BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2125
Practice Address - Country:US
Practice Address - Phone:310-923-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist