Theresa Joan Trollinger

Individual provider Active NPI Speech-Language Assistant · Phoenix, AZ

NPI 1093346983 · NPPES record last updated Jan 29, 2020

Key facts

NPI
1093346983
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
11995 (AZ)
Practice address
16220 N 7TH St Apt 3030
Phoenix, AZ 85022-6662
Phone
(602) 908-2333
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11995AZMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 11995 AZ Yes

Addresses

Primary practice location

16220 N 7TH St Apt 3030
Phoenix, AZ 85022-6662

Mailing address

16220 N 7TH St Apt 3030
Phoenix, AZ 85022-6662
Phone (602) 908-2333

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Speech-Language Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.