Healthcare Provider Details

I. General information

NPI: 1639088842
Provider Name (Legal Business Name): COLIN TROUTEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ABBE RD N
ELYRIA OH
44035-3724
US

IV. Provider business mailing address

1130 JOHN GLENN DR
SEVEN HILLS OH
44131-2928
US

V. Phone/Fax

Practice location:
  • Phone: 440-366-5225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17133
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: