Individual
VINESSA KAYE TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7250
(801) 576-7268
Mailing address
14425 S BITTERBRUSH LN, P.O. BOX 250, DRAPER, UT 84020-9501
(801) 576-7250
(801) 576-7268
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7083777-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000073243
MEDICARE PTAN
—
Enumeration date
10/10/2008
Last updated
09/24/2013
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