Individual
DR. KELLY C TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
703 MILL CREEK RD, SUITE E-1, MANAHAWKIN, NJ 08050-3828
(609) 549-0787
Mailing address
44 RUTH DR, MANAHAWKIN, NJ 08050-5328
(619) 549-9279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100527600
NJ
Other
Enumeration date
06/04/2014
Last updated
05/06/2026
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