BROCK FORD TRAVIS PH.D.
NPI 1417018987
Psychologist in Lakeport, CA
About Brock Ford Travis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROCK FORD TRAVIS PH.D. (NPI 1417018987) is an individual psychologist in Lakeport, California, licensed in California (MENTAL HEALTH WAIVER) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKEPORT, CA 95453
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brock Travis's NPI number?
The NPI number for Brock Travis is 1417018987. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Brock Travis located?
Brock Travis practices at 991 Parallel Dr, Lakeport, CA 95453. The listed phone number is (707) 994-7090.
What is Brock Travis's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Brock Travis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.