Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Traverse Assessment and Therapy, PLLC

Organization Clinical Psychologist · NPI 1912480518

Grand Traverse Assessment and Therapy, PLLC is a Clinical Psychologist in Traverse City, Michigan. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5123 N Royal Dr
Traverse City, MI 49684-9201
Phone: (517) 887-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1912480518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Fabiano — Co-Manager · (517) 243-7027
NPI enumeratedSeptember 10, 2018
Last updated in NPPESJanuary 28, 2019
Mailing address5123 N Royal Dr, Traverse City, MI 49684-9201

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