RICHARD BRODE TRAVIS

STUDIO CITY, CA
NPI1053583179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT14361)
Enumeration Date2008-03-28
Last Update Date2008-03-28
Business Address
-- RICHARD BRODE TRAVIS Ph.D.
11712 MOORPARK ST 205B
STUDIO CITY, CA 91604-2154
Phone number: 818-766-5988
Mailing Address
-- RICHARD BRODE TRAVIS Ph.D.
11712 MOORPARK ST 205B
STUDIO CITY, CA 91604-2154
Phone number: 818-766-5988
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