Individual
DR. TRAVIS W HINZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
329 S RIVER ST, SUITE 301, SPOONER, WI 54801-9726
(800) 994-4693
(715) 349-5907
Mailing address
PO BOX 285, SIREN, WI 54872-0285
(800) 994-4693
(715) 349-5907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2125-057
WI
103T00000X
Psychologist
LP4441
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39135900
—
WI
Enumeration date
12/28/2006
Last updated
03/26/2014
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