Shivley-Scott, Travis Martin

Shivley-Scott, Travis Martin is an individual health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Shivley-Scott, Travis Martin can be contacted via phone (916) 765-1903.

Contact Information

Primary practice address
10535 Hospital Way Mather CA 95655-4200
Phone: (916) 765-1903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32064 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 32064 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32064 California

Profile Details

NPI number 1609445444
LBN Legal business name Shivley-Scott, Travis Martin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2021
Last updated Oct 7th, 2022 - about 2 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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