Provider Demographics
NPI:1831838887
Name:TRENTZ, BAILEY LOUISE (MA)
Entity type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:LOUISE
Last Name:TRENTZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:BAILEY
Other - Middle Name:L
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3375 LAKE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7864
Mailing Address - Country:US
Mailing Address - Phone:563-207-8932
Mailing Address - Fax:
Practice Address - Street 1:3375 LAKE RIDGE DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7864
Practice Address - Country:US
Practice Address - Phone:563-207-8932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health