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Individual
MRS. TARA NICOLE TROTT
Active
Individual
MRS. TARA NICOLE TROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110687
TX
235Z00000X
Speech-Language Pathologist
14056
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09894354
STATE OF TEXAS DRIVERS LICENSE
TX
01
—
110687
STATE OF TEXAS SLP LICENSE
TX
01
—
13562404
CAQH
—
01
—
14101180
ASHA CERTIFICATION NUMBER
—
05
—
1Z0625
—
TX
Enumeration date
03/05/2009
Last updated
04/02/2025
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