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Individual

TRAVIS WILLIAMS

Active
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Individual

TRAVIS WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23997
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY23997
CA BOARD OF PSYCHOLOGY
CA
Enumeration date
10/10/2006
Last updated
11/02/2022
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