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Dr. Richard D Travis JR., PSYD,LCP
Clinical Psychologist in Plainfield, Illinois
NPI 1902989122

Richard D Travis JR. is a Clinical Psychologist based in Plainfield, IL and is specialized in Clinical. Richard D Travis JR. practices in Plainfield, IL and has the professional credentials of PSYD,LCP. The NPI Number for Richard D Travis JR. is 1902989122 and holds a License No. 180003461 (Illinois).

The current practice location address for Richard D Travis JR. is 24123 W Lockport St, Plainfield, IL and can be reached out via phone at 815-436-1101 and via fax at 815-436-1121. You can also correspond with Richard D Travis JR. through the mailing address at 24123 W LOCKPORT ST, PLAINFIELD, IL - 60544-2863 (mailing address contact number: 815-436-1101).

Location: 24123 W Lockport St, Plainfield, IL, 60544-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902989122
Provider Name
Richard D Travis JR.
Credential
PSYD,LCP
Provider Entity Type
Individual
Gender
Male
Address
24123 W Lockport St, Plainfield, IL, 60544-2863
Phone Number
815-436-1101
Fax Number
815-436-1121
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11723317 01 IL AETNA
0009932335 01 IL BCBS IL
581473 01 IL VALUE OPTIONS
802121000 01 IL MAGELLAN
institution
Provider Business Practice Location Address Details
Address
24123 W Lockport St
City
Plainfield
State
Illinois
Zip
60544-2863
Phone Number
815-436-1101
Fax Number
815-436-1121
person
Provider Business Mailing Address Details
Address
24123 W Lockport St
City
Plainfield
State
Illinois
Zip
60544-2863
Phone Number
815-436-1101
Fax Number
815-436-1121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
071.008003 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
180003461 (Illinois)
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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