Individual
MICHAEL WILLIAM TRAGAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 FOOTHILL DRIVE 116B, VA SALT LAKE CITY HEALTH CARE SYSTEM, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
3176 S 900 E APT 5, SALT LAKE CITY, UT 84106-2157
(801) 520-1050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6272971-2501
UT
Other
Enumeration date
10/11/2006
Last updated
11/17/2008
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