Provider Demographics
NPI:1730294224
Name:TROTTER, KAY SUDEKUM (LPC)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:SUDEKUM
Last Name:TROTTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:SUDEKUM
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3535 FIREWHEEL DR STE C
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7719
Mailing Address - Country:US
Mailing Address - Phone:214-755-3309
Mailing Address - Fax:
Practice Address - Street 1:4400 TROTTER LN
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-8772
Practice Address - Country:US
Practice Address - Phone:214-755-3309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health