Provider Demographics
NPI:1730339631
Name:TROTMAN, ADRIAN PETER (SLP)
Entity type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:PETER
Last Name:TROTMAN
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 ELEGANTE LN
Mailing Address - Street 2:EL DORADO SUITE 1
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-5620
Mailing Address - Country:US
Mailing Address - Phone:907-947-7314
Mailing Address - Fax:
Practice Address - Street 1:1290 ELEGANTE LN
Practice Address - Street 2:EL DORADO SUITE 1
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5620
Practice Address - Country:US
Practice Address - Phone:907-947-7314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6263235Z00000X
AK121235Z00000X
NC11095235Z00000X
IDSLP-3163235Z00000X
TX105253235Z00000X
FLSA13310235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist