Richard D Travis in Plainfield - Professional

Richard D Travis - NPI 1902989122

Richard D Travis is a Professional in Plainfield, Illinois. Richard D Travis practices all healthcare services and medical treatments related to Professional. The NPI Number for Richard D Travis is 1902989122. The last update date is 2011-01-17.

Richard D Travis's current location address is 24123 W Lockport St, Plainfield, Illinois. You can contact this provider via phone number 8154361101 and fax number 8154361121. The mailing address for Richard D Travis is 24123 W Lockport St, Plainfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard D Travis
Address 24123 W Lockport St, Plainfield, Illinois
Phone Number 8154361101
Fax Number 8154361121
Sole Proprietor Y
Credentials PSY.D, LCP

NPI Number Detail

NPI Number 1902989122
Provider Enumeration Date 2006-10-23
Last Updated Date 2011-01-17

Provider Mailing Address Detail

Address 24123 W Lockport St
City Plainfield
State Illinois (IL)
Post Code 605442863
Phone Number 8154361101
Fax Number 8154361121

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 180003461
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11723317 IL AETNA
9932335 IL BCBS IL
581473 IL VALUE OPTIONS
802121000 IL MAGELLAN

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FAQs about Richard D Travis

What is the unique 10-digit identification code issued to Richard D Travis by the Centers for Medicare & Medicaid Services?

The Richard D Travis has been assigned the NPI (National Provider Identifier) 1902989122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Richard D Travis is located?

The Richard D Travis is situated at the following address: 24123 W Lockport St, Plainfield, IL, 605442863.

What is Richard D Travis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard D Travis's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services assign the 1902989122 to Richard D Travis?

The Centers for Medicare & Medicaid Services assigned the 1902989122 to Richard D Travis on 2006-10-23.

When was the information regarding Richard D Travis most recently updated?

The details pertaining to the Richard D Travis, including its address, specialty, and other relevant information, were last refreshed on 2011-01-17.

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