Provider Demographics
NPI:1972775245
Name:TROUTNER, ANGELA MARIE (MASTER OF ARTS)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:TROUTNER
Suffix:
Gender:F
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-3148
Mailing Address - Country:US
Mailing Address - Phone:641-753-8335
Mailing Address - Fax:
Practice Address - Street 1:704 STORY ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:IA
Practice Address - Zip Code:50036-2834
Practice Address - Country:US
Practice Address - Phone:515-432-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health