Williams, Travis
Williams, Travis is an sole proprietor health care provider with primary practice located at 9272 Laguna Springs Dr , Elk Grove CA 95758-7947. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Travis can be contacted via phone (661) 709-7834.Contact Information
Primary practice address
9272 Laguna Springs Dr
Elk Grove CA 95758-7947
Phone: (661) 709-7834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY23997 | California |
Profile Details
| NPI number | 1417045923 |
|---|---|
| LBN Legal business name | Williams, Travis |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417045923 | NPPES |
| California | Other | PSY23997 | CA BOARD OF PSYCHOLOGY |
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