MEDICARE: GAYAN TROUSSARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LG200002335	DC

General Provider Information

NPI Number	:	1558161133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAYAN TROUSSARD

Provider Business Mailing Address
First Line	:	9101 CEDAR SPRING LN
Second Line	:
City	:	LINVILLE
State	:	VA
Zip	:	22834-2148
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 CEDAR SPRING LN
Second Line	:
City	:	LINVILLE
State	:	VA
Zip	:	22834-2148
Country	:	US
Telephone Number	:	703-398-3117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

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Directions to “ GAYAN TROUSSARD ” Practice Location

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