Grand Traverse Assessment and Therapy, Pllc
NPI #1912480518 in Traverse City, Michigan
Provider Information
- NPI Number
- 1912480518
- Entity Type
- Organization
- Organization Name
- Grand Traverse Assessment and Therapy, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Jan 28, 2019
Practice Location
- Address
- 5123 N ROYAL DR
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-9201
- Phone
- (517) 887-9801
Authorized Official
- Name
- ROBERT FABIANO, PHD
- Title
- CO-MANAGER
- Phone
- (517) 243-7027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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