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NPI Code Detail

MEDICARE: DEIONNA DE'TRICE TROTTER

MEDICARE: DEIONNA DE'TRICE TROTTER
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
1101YM0800XMental Health CounselorAR

General Provider Information

NPI Number : 1326754375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIONNA DE'TRICE TROTTER
Provider Business Mailing Address
First Line : 6210 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4728
Country : US
Telephone Number : 501-265-0302
Fax Number :
Provider Business Practice Location Address
First Line : 6210 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4728
Country : US
Telephone Number : 501-265-0302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 02/03/2026

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Directions to “ DEIONNA DE'TRICE TROTTER ” Practice Location

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