Provider Demographics
NPI:1770760613
Name:TRAPANI, JENNIFER NICHOLE (PHD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NICHOLE
Last Name:TRAPANI
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 1:7700 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:613
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1183
Mailing Address - Country:US
Mailing Address - Phone:512-699-4404
Mailing Address - Fax:
Practice Address - Street 1:7700 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:613
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1183
Practice Address - Country:US
Practice Address - Phone:512-699-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33833103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist