Individual
DR. TRAVIS GOLDWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30150 TELEGRAPH, SUITE 245, SOUTHFIELD, MI 48025
(800) 693-1916
Mailing address
30150 TELEGRAPH, SUITE 245, SOUTHFIELD, MI 48025
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6351004007
MI
Other
Enumeration date
03/27/2014
Last updated
09/03/2021
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