Andrea Jolene Trout
Specialist/Technologist, Speech-Language Assistant in La Harpe, IL. Individual provider (NPI-1).
NPI number1689242554
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1689242554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrea Jolene Trout
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | Yes |
Practice location
2495 E County Road 2900La Harpe, IL 61450-9125
Phone 309-221-3319
Mailing address
2495 E County Road 2900La Harpe, IL 61450-9125
Phone 309-221-3319
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