| Doctor Name: | BRENDA J. TRAVIS |
| NPI Number: | 1962705129 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 01507 |
| Business Practice Address: | 6915 Laurel-bowie Road Suite 205-f Bowie, MD - 20715 |
| Business Phone Number: | 2402454370 |
| Business Fax Number: | 2402454472 |
| Mailing Address: | 6915 Laurel Bowie Rd, Suite 205-f BOWIE |
| State: | MD |
| Postal Code: | 207151703 |
| Phone Number: | 2402454370 |
| Fax Number: | 2402454472 |
| NPI Enumeration Date: | 12/09/2010 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |