Individual
TRAVIS ETHAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1102 W 6TH ST, AUSTIN, TX 78703-5304
(512) 554-2231
Mailing address
7501 SHOAL CREEK BLVD, AUSTIN, TX 78757-1603
(512) 554-2231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38047
LICENSE
TX
Enumeration date
08/19/2014
Last updated
10/21/2025
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