Provider Demographics
NPI:1780806604
Name:HELGE, TRUDY D (PSYD)
Entity type:Individual
Prefix:DR
First Name:TRUDY
Middle Name:D
Last Name:HELGE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 S 17TH ST
Mailing Address - Street 2:SUITE 2701
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6231
Mailing Address - Country:US
Mailing Address - Phone:215-732-5590
Mailing Address - Fax:610-667-3527
Practice Address - Street 1:255 S 17TH ST
Practice Address - Street 2:SUITE 2701
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6231
Practice Address - Country:US
Practice Address - Phone:215-732-5590
Practice Address - Fax:610-667-3527
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016052103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical