Trott, Timothy R
Trott, Timothy R is an individual health care provider with primary practice located at 149 N Main St , Fairport NY 14450-1434. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Trott, Timothy R can be contacted via phone (585) 377-2230.Contact Information
Primary practice address
149 N Main St
Fairport NY 14450-1434
Phone: (585) 377-2230
Fax: (585) 377-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1972076826 |
|---|---|
| LBN Legal business name | Trott, Timothy R |
| Credentials | MA, CAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2019 |
| Last updated | Jan 3rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972076826 | NPPES |
| New York | Other | 625234 | PUBLIC SCHOOL TEACHER CERTIFICATE |
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