Provider Demographics
NPI:1871854224
Name:TROMBLY, ANN LOUISE
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:TROMBLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CARNEGIE CTR STE 150
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6285
Mailing Address - Country:US
Mailing Address - Phone:609-807-1582
Mailing Address - Fax:609-874-7105
Practice Address - Street 1:300 CARNEGIE CTR STE 150
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6285
Practice Address - Country:US
Practice Address - Phone:609-807-1582
Practice Address - Fax:609-874-7105
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-02959101YA0400X
NJ44SC061792001041C0700X
MI68010916381041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical