Cook, Travis Andrew Ross

Cook, Travis Andrew Ross is an sole proprietor health care provider with primary practice located at 940 Belmont St 116B, Brockton MA 02301-5596. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cook, Travis Andrew Ross can be contacted via phone (508) 583-4500.

Contact Information

Primary practice address
940 Belmont St 116B Brockton MA 02301-5596
Phone: (508) 583-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PS01128 Rhode Island
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01128 Rhode Island

Profile Details

NPI number 1528205556
LBN Legal business name Cook, Travis Andrew Ross
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2009
Last updated Oct 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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