NPI 1104988450

John Henry Trakowski, PHD

Practitioner Clinical Psychologist Fort Gordon, GA

Practice location

Address: 300 W Hospital Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS-008879-L (PA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1104988450
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2006
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.