| Travis H. Owens, Psy.d. Inc. | |
|
1891 E Roseville Pkwy Ste 100 Roseville CA 95661-7974 | |
| (916) 789-7082 | |
| (916) 797-8840 |
| Full Name | Travis H. Owens, Psy.d. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1891 E Roseville Pkwy Ste 100, Roseville, California |
| Authorized Official Name and Position | Travis Henry Owens (PRESIDENT) |
| Authorized Official Contact | 9167897082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis H. Owens, Psy.d. Inc. 1891 E Roseville Pkwy Ste 100 Roseville CA 95661-7974 Ph: (916) 789-7082 | Travis H. Owens, Psy.d. Inc. 1891 E Roseville Pkwy Ste 100 Roseville CA 95661-7974 Ph: (916) 789-7082 |
| NPI Number | 1275762452 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
| Medicare PECOS PAC ID | 0143366294 |
|---|---|
| Medicare Enrollment ID | O20091005000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275762452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Travis Owens |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1427197540 PECOS PAC ID: 8426194564 Enrollment ID: I20091005000182 |
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