Doctor Name: | MICHAEL TROUT |
NPI Number: | 1053406975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | C-3849 |
Business Practice Address: | 2819 Richmond Dr Ne Albuquerque, NM - 871071918 |
Business Phone Number: | 5058833787 |
Business Fax Number: | 5058300106 |
Mailing Address: | 6320 Michelangelo Ln Nw, ALBUQUERQUE |
State: | NM |
Postal Code: | 871145016 |
Phone Number: | 5052695241 |
Fax Number: | 5058300106 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | C-3849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |