Provider Demographics
NPI:1063400083
Name:TRAENKNER, BARBARA TIPPINS (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:TIPPINS
Last Name:TRAENKNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:TIPPINS
Other - Last Name:EMBRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MT
Mailing Address - Zip Code:59935-0415
Mailing Address - Country:US
Mailing Address - Phone:478-952-6263
Mailing Address - Fax:
Practice Address - Street 1:107 SWIFTWATER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MT
Practice Address - Zip Code:59935-7763
Practice Address - Country:US
Practice Address - Phone:478-952-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1251103TC0700X
MT3535103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical