Provider Demographics
NPI:1841736535
Name:ANNA TRAD AND ASSOCIATES
Entity Type:Organization
Organization Name:ANNA TRAD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TRAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-818-5911
Mailing Address - Street 1:1244 CLAIRMONT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1263
Mailing Address - Country:US
Mailing Address - Phone:404-181-8591
Mailing Address - Fax:404-321-9667
Practice Address - Street 1:1244 CLAIRMONT RD STE 204
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1263
Practice Address - Country:US
Practice Address - Phone:404-181-8591
Practice Address - Fax:404-321-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty