Provider Demographics
NPI:1184873622
Name:REDMOND-MATZ, TRINA PARIS (PHD)
Entity type:Individual
Prefix:DR
First Name:TRINA
Middle Name:PARIS
Last Name:REDMOND-MATZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S WATER ST APT B
Mailing Address - Street 2:
Mailing Address - City:FROSTBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21532-1791
Mailing Address - Country:US
Mailing Address - Phone:301-759-6319
Mailing Address - Fax:
Practice Address - Street 1:6 S WATER ST APT B
Practice Address - Street 2:
Practice Address - City:FROSTBURG
Practice Address - State:MD
Practice Address - Zip Code:21532-1791
Practice Address - Country:US
Practice Address - Phone:301-759-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04660103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling