Basic Information
| Provider Information | |||||||||
| NPI: | 1720461890 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROUPE | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 560 COHASSET RD | ||||||||
| Address2: | 180 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308912986 | ||||||||
| FaxNumber: | 5308793823 | ||||||||
| Practice Location | |||||||||
| Address1: | 560 COHASSET RD | ||||||||
| Address2: | 180 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308912986 | ||||||||
| FaxNumber: | 5308793823 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2015 | ||||||||
| LastUpdateDate: | 01/28/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 98335 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.