Healthcare Provider Details

I. General information

NPI: 1215045158
Provider Name (Legal Business Name): ANITA FAY TROWBRIDGE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MOUNTAIN CREEK RD SUITE 200
CHATTANOOGA TN
37405-4501
US

IV. Provider business mailing address

901 MOUNTAIN CREEK RD SUITE 200
CHATTANOOGA TN
37405-4501
US

V. Phone/Fax

Practice location:
  • Phone: 423-870-0036
  • Fax: 423-870-0706
Mailing address:
  • Phone: 423-870-0036
  • Fax: 423-870-0706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberP2260
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP2260
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: