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Individual

DR. MARY TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
20 OLD MAMARONECK RD, WHITE PLAINS, NY 10605-2060
(914) 328-6022
Mailing address
20 OLD MAMARONECK RD, WHITE PLAINS, NY 10605-2060
(914) 693-0961

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0067861
NY
103TB0200X
Cognitive & Behavioral Psychologist
0067861
NY

Other

Enumeration date
04/04/2007
Last updated
07/18/2007
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