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Individual

ANTHONY P TRANCHITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
301 N 1ST ST, ALTUS, OK 73523-5004
(580) 481-5376
(580) 481-5374

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2570-057
WI
103TP0016X
Prescribing (Medical) Psychologist
Primary
39
NM

Other

Enumeration date
01/20/2006
Last updated
02/08/2019
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