DR. Richard D Travis JR., PSY.D, LCP
NPI #1902989122 in Plainfield, Illinois
Provider Information
- NPI Number
- 1902989122
- Entity Type
- Individual
- Name
- DR. Richard D Travis JR., PSY.D, LCP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D, LCP
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jan 17, 2011
Practice Location
- Address
- 24123 W LOCKPORT ST
- Address 2
- UNIT 101
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-2863
- Phone
- (815) 436-1101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist - Clinical — Clinical |
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