Provider Demographics
NPI:1972049146
Name:LANGHOFER, TRENTON (PHD)
Entity Type:Individual
Prefix:
First Name:TRENTON
Middle Name:
Last Name:LANGHOFER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:TRENT
Other - Middle Name:
Other - Last Name:LANGHOFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1125 KELLY JOHNSON BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3982
Mailing Address - Country:US
Mailing Address - Phone:719-719-8675
Mailing Address - Fax:
Practice Address - Street 1:1125 KELLY JOHNSON BLVD STE 140
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3982
Practice Address - Country:US
Practice Address - Phone:719-867-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4873101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional