Individual
BETH A. TRAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
1904 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 284-0443
(765) 284-4112
Mailing address
1904 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 284-0043
(765) 284-4112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042638A
IN
103TC0700X
Clinical Psychologist
Primary
20042638A
IN
103TS0200X
School Psychologist
20042638A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
05
—
201089430
—
IN
Enumeration date
03/26/2007
Last updated
05/01/2014
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