Individual
DR. TERESA TRABUE
Active
Individual
DR. TERESA TRABUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
03025
MD
103TC0700X
Clinical Psychologist
Primary
03025
MD
103TC1900X
Counseling Psychologist
03025
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
03025
MD
103TP2701X
Group Psychotherapy Psychologist
03025
MD
103TS0200X
School Psychologist
03025
MD
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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