Provider Demographics
NPI:1013421759
Name:TREU PLLC
Entity Type:Organization
Organization Name:TREU PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:TREUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-245-6484
Mailing Address - Street 1:4601 E FORT LOWELL RD # 131
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1183
Mailing Address - Country:US
Mailing Address - Phone:520-396-4413
Mailing Address - Fax:520-396-4764
Practice Address - Street 1:4601 E FORT LOWELL RD # 131
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1183
Practice Address - Country:US
Practice Address - Phone:520-396-4413
Practice Address - Fax:520-396-4764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ499742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1992075675Medicaid