Individual
TRAVIS ANTHONY GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S, PPS
Contact information
Practice address
1901 DESIRE AVE, ROWLAND HEIGHTS, CA 91748-3846
(626) 964-2358
Mailing address
1901 E AMAR RD APT 83, WEST COVINA, CA 91792-1716
(909) 498-6595
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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