MEDICARE: CHRISTI TRASK

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	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1396080420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTI TRASK

Provider Business Mailing Address
First Line	:	2530 DOLE STREET
Second Line	:	SAKAMAKI C400
City	:	HONOLULU
State	:	HI
Zip	:	96822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 OLENTANGY RIVER RD STE 310
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3654
Country	:	US
Telephone Number	:	614-293-9600
Fax Number	:

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

Provider Enumeration Date	:	11/29/2012
Last Update Date	:	09/20/2022

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Directions to “ CHRISTI TRASK ” Practice Location

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