Provider Demographics
NPI:1063053098
Name:TRAPUZZANO, SYLVIA ANN (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:ANN
Last Name:TRAPUZZANO
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2384
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1086
Mailing Address - Country:US
Mailing Address - Phone:760-861-8275
Mailing Address - Fax:760-328-2186
Practice Address - Street 1:74-040 HIGHWAY III
Practice Address - Street 2:SUITE L-202
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:760-861-7275
Practice Address - Fax:760-328-2186
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44962106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist