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Antonia Travisano, PSYD
Clinical Psychologist in Shaw Afb, South Carolina
NPI 1376162214

Antonia Travisano is a Clinical Psychologist based in Shaw Afb, SC and is specialized in Clinical. Antonia Travisano practices in Shaw Afb, SC and has the professional credentials of PSYD. The NPI Number for Antonia Travisano is 1376162214 and holds a License No. 0810007634 (South Carolina).

The current practice location address for Antonia Travisano is 431 Meadowlark St, Shaw Afb, SC and can be reached out via phone at 803-895-6199.

Location: 431 Meadowlark St, Shaw Afb, SC, 29152-5019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376162214
Provider Name
Antonia Travisano
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
431 Meadowlark St, Shaw Afb, SC, 29152-5019
Phone Number
803-895-6199
Fax Number
Provider Enumeration Date
04/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-6199
Fax Number
person
Provider Business Mailing Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-6199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810007634 (Virginia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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