Search › California › 103T00000X
Brock Travis, PH.D
NPI 1417018987 · on the registry since 2006
Practice
- Address
- 991 Parallel Dr
Lakeport, CA 95453 - Phone
- (707) 994-7090
- Fax
- (707) 994-7096
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California