Doctor Name: | TRAVIS DUNCAN |
NPI Number: | 1306118567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | OH3044897 |
Business Practice Address: | 51 W High St Waynesburg, PA - 153701343 |
Business Phone Number: | 7246270922 |
Business Fax Number: | 7246270940 |
Mailing Address: | 110 S Arch St, CONNELLSVILLE |
State: | PA |
Postal Code: | 154253515 |
Phone Number: | 7246269941 |
Fax Number: | 7246262785 |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 02/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | OH3044897 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |