Individual
GREGORY KNIGHT TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6310 SAN VICENTE BLVD STE 410, LOS ANGELES, CA 90048-5457
(323) 935-3885
Mailing address
2036 W 28TH ST, LOS ANGELES, CA 90018-3049
(323) 935-3885
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY12181
CA
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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