Ethan Michael Trevis
NPI #1205119286 in Downey, California
Provider Information
- NPI Number
- 1205119286
- Entity Type
- Individual
- Name
- Ethan Michael Trevis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 10927 DOWNEY AVE
- City
- Downey
- State
- California
- ZIP Code
- 90241-3739
- Phone
- (562) 869-9770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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