Provider Demographics
NPI:1427174036
Name:TRENT, NEAL HENDERSON III (PHD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:HENDERSON
Last Name:TRENT
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 ROCKING H RD
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-5117
Mailing Address - Country:US
Mailing Address - Phone:254-288-8235
Mailing Address - Fax:254-286-7196
Practice Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER
Practice Address - Street 2:DEPARTMENT OF FAMILY & COMMUNITY MEDICINE-FMRC
Practice Address - City:FT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8235
Practice Address - Fax:254-286-7196
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31453103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical