Provider Demographics
NPI:1477565455
Name:TRAYLOR, ELAINE SCHOKA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:SCHOKA
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 OAK LAWN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4090
Mailing Address - Country:US
Mailing Address - Phone:214-559-2171
Mailing Address - Fax:214-559-2218
Practice Address - Street 1:2501 OAK LAWN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4090
Practice Address - Country:US
Practice Address - Phone:214-559-2171
Practice Address - Fax:214-559-2218
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-5552103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87016AOtherBCBS
TXP00120267-CJ6781OtherMCR RAILROAD
TX8B2488Medicare PIN
TXP00120267-CJ6781OtherMCR RAILROAD