Provider Demographics
NPI:1669164117
Name:TROMBLY, JOSHUA LEE (MS)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:LEE
Last Name:TROMBLY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:31 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4347
Mailing Address - Country:US
Mailing Address - Phone:802-864-7423
Mailing Address - Fax:802-660-0576
Practice Address - Street 1:84 PINE ST FL 2
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4441
Practice Address - Country:US
Practice Address - Phone:802-864-7423
Practice Address - Fax:802-660-0576
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health