Individual
DR. JOHN HENRY TRAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 W HOSPITAL, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176
Mailing address
300 W HOSPITAL, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008879-L
PA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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