Trevino, Mary L.

Trevino, Mary L. is an sole proprietor health care provider with primary practice located at 261 Turtle Ln , Seguin TX 78155-3142. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Trevino, Mary L. can be contacted via phone (210) 250-1298.

Contact Information

Primary practice address
261 Turtle Ln Seguin TX 78155-3142
Phone: (210) 250-1298
Fax: (830) 433-4790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 11530 Texas
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 11530 Texas

Profile Details

NPI number 1851428957
LBN Legal business name Trevino, Mary L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Mar 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851428957 NPPES
Texas MEDICAID 166851902

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