MEDICARE: TREU PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	49974	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013421759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREU PLLC

Provider Business Mailing Address
First Line	:	4601 E FORT LOWELL RD # 131
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1183
Country	:	US
Telephone Number	:	520-396-4413
Fax Number	:	520-396-4764

Provider Business Practice Location Address
First Line	:	4601 E FORT LOWELL RD # 131
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1183
Country	:	US
Telephone Number	:	520-396-4413
Fax Number	:	520-396-4764

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JENNIFER ANNA TREUSCH
Credential	:	MD
Telephone Number	:	520-245-6484

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	06/22/2024

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