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NPI Code Detail

MEDICARE: DOMINIQUE TROTMAN

MEDICARE: DOMINIQUE TROTMAN
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 CounselorCT

General Provider Information

NPI Number : 1346191467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE TROTMAN
Provider Business Mailing Address
First Line : 1 HOPE ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6374
Country : US
Telephone Number : 860-585-4300
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOPE ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6374
Country : US
Telephone Number : 860-585-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ DOMINIQUE TROTMAN ” Practice Location

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