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Individual

DR. GAYLE TRENBERTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1816 N SILVER ST, SILVER CITY, NM 88061-7025
(575) 404-0630
Mailing address
1816 N SILVER ST, SILVER CITY, NM 88061-7025
(575) 404-0630

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-2023-0111
NM
103TC0700X
Clinical Psychologist
PSY 5584
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330627184
BLUE CROSS
CA
05
37208870
NM
Enumeration date
07/21/2006
Last updated
03/13/2024
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