Individual
DR. ANN DECKER TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
1222 S LEADVILLE AVE, BOISE, ID 83706-3637
(208) 308-5199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203145
ID
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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