Provider Demographics
NPI:1902005390
Name:TRENTER, KENDYL L (NCSP)
Entity Type:Individual
Prefix:MRS
First Name:KENDYL
Middle Name:L
Last Name:TRENTER
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:MS
Other - First Name:KENDYL
Other - Middle Name:L
Other - Last Name:SULOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCSP
Mailing Address - Street 1:31 HOSIER ST
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-9300
Mailing Address - Country:US
Mailing Address - Phone:302-436-1000
Mailing Address - Fax:
Practice Address - Street 1:31 HOSIER ST
Practice Address - Street 2:
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975-9300
Practice Address - Country:US
Practice Address - Phone:302-436-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE103163103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool