Individual
KAYLEE TROTTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 791-7414
Mailing address
624 NORTHERN LIGHTS BLVD, BOX ELDER, SD 57719-4305
(605) 431-7495
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
522-PROV
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522-PROV
SOUTH DAKOTA LICENSE
SD
Enumeration date
03/05/2014
Last updated
03/05/2014
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