Individual
TRAJANA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LMFT
Contact information
Practice address
616 CAMELLIA AVE, ELLENTON, FL 34222-2438
(813) 498-9349
Mailing address
616 CAMELLIA AVE, ELLENTON, FL 34222-2438
(813) 498-9349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9201
FL
106H00000X
Marriage & Family Therapist
MT2340
FL
Other
Enumeration date
08/20/2008
Last updated
06/20/2016
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