Provider Demographics
NPI:1306969027
Name:TROSINO, SHIRLEY JOAN (PHD)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:JOAN
Last Name:TROSINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHIRLEY
Other - Middle Name:J
Other - Last Name:TROSINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:23974 ALISO CREEK RD
Mailing Address - Street 2:STE. 430
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3908
Mailing Address - Country:US
Mailing Address - Phone:949-362-2858
Mailing Address - Fax:949-362-2858
Practice Address - Street 1:27001 LA PAZ RD
Practice Address - Street 2:STE.403
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5502
Practice Address - Country:US
Practice Address - Phone:949-362-2858
Practice Address - Fax:949-362-2858
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15381103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical