Provider Demographics
NPI:1851625669
Name:REDER, TRUDY (MS,LPC)
Entity Type:Individual
Prefix:MS
First Name:TRUDY
Middle Name:
Last Name:REDER
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 BUSINESS BLVD
Mailing Address - Street 2:STE 34
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577
Mailing Address - Country:US
Mailing Address - Phone:907-726-3535
Mailing Address - Fax:907-726-0627
Practice Address - Street 1:12110 BUSINESS BLVD
Practice Address - Street 2:STE 34
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577
Practice Address - Country:US
Practice Address - Phone:907-726-3535
Practice Address - Fax:907-726-0627
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK134608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health