Individual
TRAVIS ULYSES DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
700 BRYDEN RD STE 128, COLUMBUS, OH 43215-4839
(614) 462-0236
(614) 462-0236
Mailing address
700 BRYDEN RD STE 128, COLUMBUS, OH 43215-4839
(614) 462-0236
(614) 462-0236
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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