Individual
DR. TRAVIS G WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
351 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-1917
(276) 403-5779
Mailing address
351 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-1917
(276) 403-5779
(276) 403-5178
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0183000199
VA
103TS0200X
School Psychologist
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—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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