Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROCK FORD TRAVIS, PH.D.
ActiveBROCK FORD TRAVIS, PH.D. is a Psychologist healthcare provider located in LAKEPORT, California. NPI 1417018987 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LAKEPORT, CA
Registration Details
- NPI Number
- 1417018987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.696413569865 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MENTAL HEALTH WAIVER (CA)
Practice Information
- Address
-
991 PARALLEL DRLAKEPORT, CA, 954535720Browse CA providers · Browse ZIP 95453
- Phone
- 7079947090
- Fax
- 7079947096
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in LAKEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| ERIN ALICE DAILEY | PSYD | 1366685091 |
| ALLISON J. ACLUFI | PSYCHOLOGIST PHD EDD | 1972900124 |
| DR. MELISSA FLORES | PSYD | 1376925271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.