Provider Demographics
NPI:1831319102
Name:HARTMAN, TRUDY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUDY
Middle Name:ANN
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:HARTMAN
Other - Last Name:BRISKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:800 MENLO AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4750
Mailing Address - Country:US
Mailing Address - Phone:650-321-8797
Mailing Address - Fax:650-326-4965
Practice Address - Street 1:800 MENLO AVENUE
Practice Address - Street 2:SUITE 120
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025
Practice Address - Country:US
Practice Address - Phone:650-321-8797
Practice Address - Fax:650-326-4965
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG621632084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry