Individual
TRAVIS ETHAN WHITE
Active
Individual
TRAVIS ETHAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
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
Update your record
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