| John H. Trask, Ph.d. Pllc | |
|
650 E Big Beaver Rd Suite A Troy MI 48083-1432 | |
| (248) 689-4600 | |
| (248) 689-4600 |
| Full Name | John H. Trask, Ph.d. Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 650 E Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | John H. Trask (PRESIDENT) |
| Authorized Official Contact | 2486894600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John H. Trask, Ph.d. Pllc 650 E Big Beaver Rd Suite A Troy MI 48083-1432 Ph: (248) 689-4600 | John H. Trask, Ph.d. Pllc 650 E Big Beaver Rd Suite A Troy MI 48083-1432 Ph: (248) 689-4600 |
| NPI Number | 1164693362 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 9133147648 |
|---|---|
| Medicare Enrollment ID | O20051103000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164693362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301007751 (Michigan) | Primary |
| Provider Name | John H Trask |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417924200 PECOS PAC ID: 7113945627 Enrollment ID: I20051107000610 |
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