Michael Trout in Albuquerque - Speech-language Pathologist

Michael Trout - NPI 1053406975

Michael Trout is a Speech-language Pathologist in Albuquerque, New Mexico. Michael Trout practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Michael Trout is 1053406975. The last update date is 2007-07-09.

Michael Trout's current location address is 2819 Richmond Dr Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058833787 and fax number 5058300106. The mailing address for Michael Trout is 2819 Richmond Dr Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Trout
Address 2819 Richmond Dr Ne, Albuquerque, New Mexico
Phone Number 5058833787
Fax Number 5058300106
Sole Proprietor N
Credentials M.S., CCC-

NPI Number Detail

NPI Number 1053406975
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2819 Richmond Dr Ne
City Albuquerque
State New Mexico (NM)
Post Code 871071918
Phone Number 5058833787
Fax Number 5058300106

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No C-3849
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
62682873 NM --
10026771 NM LOVELACE HEALTH PLAN
QMYPR0072405 NM MOLINA HEALTH CARE

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FAQs about Michael Trout

What is the Michael Trout's unique identification number?

The Michael Trout has been assigned the NPI (National Provider Identifier) Number 1053406975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Michael Trout is physically located?

The Michael Trout is physically situated at the following address: 2819 Richmond Dr Ne, Albuquerque, NM, 871071918.

What is Michael Trout's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Trout's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

When did Michael Trout receive its 1053406975 assignment?

The Michael Trout was assigned its 1053406975 on 2006-10-04, which is the date when this unique identifier was issued to the organization.

When was the information regarding Michael Trout, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael Trout, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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