Individual
DR. RICHARD GORDON TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
24 FIFTH AVE, APT 602, NEW YORK, NY 10011
(212) 982-0822
(212) 982-0822
Mailing address
24 FIFTH AVE, APT 602, NEW YORK, NY 10011
(212) 982-0822
(212) 982-0822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122238
VALUE OPTIONS
—
Enumeration date
01/29/2007
Last updated
07/08/2007
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