Provider Demographics
NPI:1205915089
Name:TROST, AMY (BC-HIS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:TROST
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S MOSS ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5151
Mailing Address - Country:US
Mailing Address - Phone:830-372-2237
Mailing Address - Fax:830-372-2380
Practice Address - Street 1:122 S MOSS ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5151
Practice Address - Country:US
Practice Address - Phone:830-372-2237
Practice Address - Fax:830-372-2380
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50540237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist