Healthcare Provider Details

I. General information

NPI: 1447532056
Provider Name (Legal Business Name): TRENT CLAYPOOL PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 WOODMOOR DR STE 101C
MONUMENT CO
80132-9097
US

IV. Provider business mailing address

1824 WOODMOOR DR STE 101C
MONUMENT CO
80132-9097
US

V. Phone/Fax

Practice location:
  • Phone: 719-393-3787
  • Fax: 719-448-9467
Mailing address:
  • Phone: 719-393-3787
  • Fax: 719-448-9467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3631
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: