Healthcare Provider Details

I. General information

NPI: 1154553022
Provider Name (Legal Business Name): CARRIE L TRIMARCHI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2009
Last Update Date: 08/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CENTURY HILL DR SUITE 202
LATHAM NY
12110-2116
US

IV. Provider business mailing address

9 WESTCHESTER DR
ALBANY NY
12205-2107
US

V. Phone/Fax

Practice location:
  • Phone: 518-785-7283
  • Fax: 518-785-7293
Mailing address:
  • Phone: 518-281-6906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number016689-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: