Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grand Traverse Assessment and Therapy, PLLC

Organization Clinical Psychologist · NPI 1912480518

Grand Traverse Assessment and Therapy, PLLC provides Clinical Psychologist services 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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