TRAVIS FOGEL

LOMA LINDA, CA
NPI1790718518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: CA  PSY17746)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
-- TRAVIS FOGEL PhD
11406 LOMA LINDA DR
LOMA LINDA, CA 92354-3711
Phone number: 909-558-6144
Mailing Address
-- TRAVIS FOGEL PhD
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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