Provider Demographics
NPI:1447973474
Name:SCAMPINI, TRUDY JEAN (LMFT 133386)
Entity type:Individual
Prefix:MS
First Name:TRUDY
Middle Name:JEAN
Last Name:SCAMPINI
Suffix:
Gender:F
Credentials:LMFT 133386
Other - Prefix:MS
Other - First Name:TRUDY
Other - Middle Name:JEAN
Other - Last Name:EMANUELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:759 SUNSHINE CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-1882
Mailing Address - Country:US
Mailing Address - Phone:925-200-6758
Mailing Address - Fax:
Practice Address - Street 1:759 SUNSHINE CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1882
Practice Address - Country:US
Practice Address - Phone:925-200-6758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist