Provider Demographics
NPI:1053390062
Name:TRAWIN, NANCY L (EDD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:TRAWIN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 N BROOKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WESCOSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9715
Mailing Address - Country:US
Mailing Address - Phone:610-481-9161
Mailing Address - Fax:610-481-0088
Practice Address - Street 1:758 N BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:WESCOSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18106-9715
Practice Address - Country:US
Practice Address - Phone:610-481-9161
Practice Address - Fax:610-481-0088
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003353-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PATR-143912Medicare UPIN