Individual
DR. JANET TRUDEE TARKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
4021 W MAIN ST, SUITE 100, KALAMAZOO, MI 49006-3706
(269) 384-6055
(269) 384-6056
Mailing address
4021 W MAIN ST, SUITE 100, KALAMAZOO, MI 49006-3706
(269) 384-6055
(269) 384-6056
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301006869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11290266
CAQH
—
01
—
6301006869
PSYCHOLOGY LICENSE NUMBER
MI
01
—
68-0-C9-4592-0
BCBS
MI
Enumeration date
12/27/2006
Last updated
06/26/2012
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