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Brock Ford Travis, PHD
Psychologist in Lakeport, California
NPI 1417018987

Brock Ford Travis is a Psychologist based in Cobb, CA. Brock Ford Travis practices in Lakeport, CA and has the professional credentials of PHD. The NPI Number for Brock Ford Travis is 1417018987 and holds a License No. MENTAL HEALTH WAIVER (California).

The current practice location address for Brock Ford Travis is 991 Parallel Dr, Lakeport, CA and can be reached out via phone at 707-994-7090 and via fax at 707-994-7096.

Location: 991 Parallel Dr, Lakeport, CA, 95426-1358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417018987
Provider Name
Brock Ford Travis
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
991 Parallel Dr, Lakeport, CA, 95426-1358
Phone Number
707-994-7090
Fax Number
707-994-7096
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
991 Parallel Dr
City
Lakeport
State
California
Zip
95453-5720
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider Business Mailing Address Details
Address
991 Parallel Dr
City
Lakeport
State
California
Zip
95453-5720
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
MENTAL HEALTH WAIVER (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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