Provider Demographics
NPI:1871735514
Name:WARNER, TRINYA DEE (MS ED, CAS)
Entity type:Individual
Prefix:
First Name:TRINYA
Middle Name:DEE
Last Name:WARNER
Suffix:
Gender:F
Credentials:MS ED, CAS
Other - Prefix:
Other - First Name:TRINYA
Other - Middle Name:DEE
Other - Last Name:CICHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 WASHINGTON AVE EXTENTION
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203
Mailing Address - Country:US
Mailing Address - Phone:518-456-3268
Mailing Address - Fax:518-464-1469
Practice Address - Street 1:314 S MANNING BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1708
Practice Address - Country:US
Practice Address - Phone:518-437-5717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304691371189092103TS0200X
103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool