Travis, Barry 0

Travis, Barry 0 is an individual health care provider with primary practice located at 7405 Fiddlers Ln , Gloucester VA 23061-4390. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Travis, Barry 0 can be contacted via phone (804) 436-4470.

Contact Information

Primary practice address
7405 Fiddlers Ln Gloucester VA 23061-4390
Phone: (804) 436-4470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1275388613
LBN Legal business name Travis, Barry 0
Credentials CSAC-A,QMHP-A, RPS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2024
Last updated Apr 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers