MEDICARE: SUSAN KAY TRAFTON ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1764-057	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295832897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN KAY TRAFTON ED.D.

Provider Business Mailing Address
First Line	:	PO BOX 99
Second Line	:
City	:	CASCADE
State	:	WI
Zip	:	53011-0099
Country	:	US
Telephone Number	:	414-462-8979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2169 N 53RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1008
Country	:	US
Telephone Number	:	414-305-7496
Fax Number	:	262-364-2424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	07/16/2025

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