Provider Demographics
NPI:1831323112
Name:TROSTLE-COLGAN, REBECCA ILENE (MS, M ED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ILENE
Last Name:TROSTLE-COLGAN
Suffix:
Gender:F
Credentials:MS, M ED, LPC
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:ILENE
Other - Last Name:SCHADEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 OAK LN
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-3124
Mailing Address - Country:US
Mailing Address - Phone:717-337-0988
Mailing Address - Fax:
Practice Address - Street 1:304 YORK ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1937
Practice Address - Country:US
Practice Address - Phone:717-870-1043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 101YM0800X
PAPC005253101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health