MEDICARE: TROUPE PSYCHOLOGICAL SERVICES, LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1750121828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TROUPE PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	2201 CHALFANT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 CHALFANT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1250
Country	:	US
Telephone Number	:	412-206-6075
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	SARA TROUPE
Credential	:	PSYD
Telephone Number	:	412-206-6075

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	06/21/2024

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