NPI 1083733182
Michael K Traylor, LMFT
Practice location
- Address
- 431 N State St, Jackson, MS 39201-1108
- Phone
- (601) 949-1949
- Mailing address
- 7068 Edgewater Dr, Ridgeland, MS 39157-1011
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1083733182
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.