Healthcare Provider Details

I. General information

NPI: 1720348436
Provider Name (Legal Business Name): STEPHANIE TROST MS, CCC-SLP, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 CADMAN DR
MIDDLETOWN DE
19709-1529
US

IV. Provider business mailing address

911 CADMAN DR
MIDDLETOWN DE
19709-1529
US

V. Phone/Fax

Practice location:
  • Phone: 610-930-6600
  • Fax:
Mailing address:
  • Phone: 610-436-3600
  • Fax: 610-436-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL010857
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: