Individual
TRAVIS STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-5319
Mailing address
14310 NACOGDOCHES RD APT 2802, SAN ANTONIO, TX 78247-1972
(812) 327-2496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
627
WY
Other
Enumeration date
12/11/2006
Last updated
03/17/2018
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