Individual
DR. AMY WEAVER TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2110 CHIQUITA BLVD S, CAPE CORAL, FL 33991-3247
(239) 772-2273
Mailing address
1344 BRADFORD RD, FORT MYERS, FL 33901-8804
(239) 209-5046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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