Healthcare Provider Details

I. General information

NPI: 1962594937
Provider Name (Legal Business Name): SARAH KATHERINE TRANAKOS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH TRANAKOS-HOWE PHD

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2941 PIEDMONT RD SUITE F
ATLANTA GA
30305
US

IV. Provider business mailing address

2941 PIEDMONT RD SUITE F
ATLANTA GA
30305
US

V. Phone/Fax

Practice location:
  • Phone: 404-869-9474
  • Fax: 404-869-6421
Mailing address:
  • Phone: 404-869-9474
  • Fax: 404-869-6421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY2774
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY002774
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: