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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRAVIS MARTIN SHIVLEY-SCOTT, PHD

Active

TRAVIS MARTIN SHIVLEY-SCOTT, PHD is a Clinical Neuropsychologist healthcare provider located in MATHER, California. NPI 1609445444 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · MATHER, CA

Registration Details

NPI Number
1609445444
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2021 (4.9578864146348 yrs)
Last Updated
Oct 7, 2022
Licenses
32064 (CA)
32064 (CA)
32064 (CA)

Practice Information

Address
10535 HOSPITAL WAY
MATHER, CA, 956554200
Browse CA providers · Browse ZIP 95655
Phone
9167651903
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Psychologist

Other Clinical Neuropsychologist Providers in MATHER, CA

Name Credential NPI
DR. KATHLEEN BAYNES PH.D. 1245204825
DR. DANI BINEGAR PH.D. 1619203734
DR. TORY KIMPTON PHD 1962921619
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.