Healthcare Provider Details

I. General information

NPI: 1356418008
Provider Name (Legal Business Name): MARIA MAGDALENA TREJO M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AMERICAN AIR BASE RED CROSS HEALTH CLINC
APO AE
09180
DE

IV. Provider business mailing address

BETHOVEENSTRASSE 36, APARTMENT 5
FRANKFURT HESSEN
60325
DE

V. Phone/Fax

Practice location:
  • Phone: 016096464618
  • Fax:
Mailing address:
  • Phone: 016096494918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: