Provider Demographics
NPI:1538544572
Name:TROTMAN, FRANCES
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:TROTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 SENECA PL
Mailing Address - Street 2:
Mailing Address - City:OCEANPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07757-1540
Mailing Address - Country:US
Mailing Address - Phone:732-222-3536
Mailing Address - Fax:
Practice Address - Street 1:74 SENECA PL
Practice Address - Street 2:
Practice Address - City:OCEANPORT
Practice Address - State:NJ
Practice Address - Zip Code:07757-1540
Practice Address - Country:US
Practice Address - Phone:732-222-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01339103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ$$$$$$$$$Medicare PIN