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Travis Fogel, PHD
Clinical Neuropsychologist in Loma Linda, California
NPI 1790718518

Travis Fogel is a Clinical Neuropsychologist based in Los Angeles, CA. Travis Fogel practices in Loma Linda, CA and has the professional credentials of PHD. The NPI Number for Travis Fogel is 1790718518 and holds a License No. PSY17746 (California).

The current practice location address for Travis Fogel is 11406 Loma Linda Dr, Loma Linda, CA and can be reached out via phone at 909-558-6144 and via fax at 909-558-3905.

Location: 11406 Loma Linda Dr, Loma Linda, CA, 90074-4701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790718518
Provider Name
Travis Fogel
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
11406 Loma Linda Dr, Loma Linda, CA, 90074-4701
Phone Number
909-558-6144
Fax Number
909-558-3905
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY177460 05 CA
institution
Provider Business Practice Location Address Details
Address
11406 Loma Linda Dr
City
Loma Linda
State
California
Zip
92354-3711
Phone Number
909-558-6144
Fax Number
909-558-3905
person
Provider Business Mailing Address Details
Address
11406 Loma Linda Dr
City
Loma Linda
State
California
Zip
92354-3711
Phone Number
909-558-6144
Fax Number
909-558-3905
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY17746 (California)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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