Provider Demographics
NPI:1932377629
Name:TROUPE, H LYNETTE
Entity Type:Individual
Prefix:MS
First Name:H LYNETTE
Middle Name:
Last Name:TROUPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 STEVENS CREEK BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1202
Mailing Address - Country:US
Mailing Address - Phone:408-722-0055
Mailing Address - Fax:408-244-5150
Practice Address - Street 1:4320 STEVENS CREEK BLVD
Practice Address - Street 2:STE 220
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-1202
Practice Address - Country:US
Practice Address - Phone:408-722-0055
Practice Address - Fax:408-244-5150
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)