Organization
JILL E. TRAGER, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL E. TRAGER PSY.D. (PSLYCHOLOGIST-SOLE PROPRIETOR)
(989) 832-1884
Entity
Organization
Contact information
Practice address
2719 ASHMAN ST, MIDLAND, MI 48640-4434
(989) 832-1884
Mailing address
2719 ASHMAN ST, MIDLAND, MI 48640-4434
(989) 832-1884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009739
STATE LICENSE
MI
Enumeration date
04/10/2007
Last updated
08/22/2020
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