Provider Demographics
NPI:1932367091
Name:TROSPER, TRYGVE BROWNELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRYGVE
Middle Name:BROWNELL
Last Name:TROSPER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 G ST NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3814
Mailing Address - Country:US
Mailing Address - Phone:202-434-4533
Mailing Address - Fax:202-434-8707
Practice Address - Street 1:1200 G ST NW
Practice Address - Street 2:SUITE 800
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3814
Practice Address - Country:US
Practice Address - Phone:202-434-4533
Practice Address - Fax:202-434-8707
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13954101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health