Provider Demographics
NPI:1588242317
Name:TROTT, CHRISTINE (MLA, MA, MSED)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:TROTT
Suffix:
Gender:F
Credentials:MLA, MA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 CROWN ST APT A12
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5455
Mailing Address - Country:US
Mailing Address - Phone:718-974-2042
Mailing Address - Fax:
Practice Address - Street 1:776 CROWN ST APT A12
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5455
Practice Address - Country:US
Practice Address - Phone:718-974-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst