Richard Travis, PSY.D, LCP

NPI 1902989122 · on the registry since 2006 · sole proprietor

Practice

Address: 24123 W Lockport St
Unit 101
Plainfield, IL 60544
Phone: (815) 436-1101
Fax: (815) 436-1121
Organisation at this address: Assisted Awareness
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-01-17

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 Illinois