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Individual

DR. ELIZABETH M TRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-8373
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 690-9605

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
169997
AK
103G00000X
Clinical Neuropsychologist
Primary
594
WY

Other

Enumeration date
06/09/2011
Last updated
08/09/2022
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