BROCK TRAVIS, PH.D.

Psychologist

Active Individual
NPI: 1417018987

Practice Address

991 PARALLEL DR
Lakeport, CA 95453

Phone: (707) 994-7090

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes MENTAL HEALTH WAIVER (CA)

Frequently Asked Questions

NPI 1417018987 is the National Provider Identifier for BROCK TRAVIS, PH.D., a Psychologist provider located in Lakeport, CA. This NPI was enumerated on December 12, 2006.
BROCK TRAVIS, PH.D. practices at 991 PARALLEL DR, Lakeport, CA 95453.

Quick Facts

NPI
1417018987
Type
Individual
Enumerated
Dec 12, 2006
Last Updated
Jul 8, 2007

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