Individual
TRAVIS T MORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10567 165TH ST W STE B, LAKEVILLE, MN 55044-3525
(952) 767-9374
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(800) 438-1772
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP7230
MN
Other
Enumeration date
09/15/2020
Last updated
08/04/2025
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