Marvin Dewan Travis
Mental Health
43825 Michigan Ave Ste 2
Canton
, Michigan 48188-2551
Marvin Dewan Travis
Mental Health
43825 Michigan Ave Ste 2
Canton
, Michigan 48188-2551
(734) 713-0080
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Marvin Dewan Travis
- 43825 Michigan Ave Ste 2
- Canton, MI
- Zip : 48188-2551
- Phone : (734) 713-0080
Second Address
- Marvin Dewan Travis
- 43825 Michigan Ave Ste 2
- Canton, MI
- Zip : 48188-2551
- Phone : (734) 713-0080
Reviews
FAQs
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What type of doctor is Marvin Dewan Travis
In what state does Marvin Dewan Travis practice in?
Where is Marvin Dewan Travis ’s practice located?
What is Marvin Dewan Travis ’s gender?
Is Marvin Dewan Travis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health |
National Provider Identifier
| NPI | 1467042903 |
|---|---|
| Provider Name | Marvin Dewan Travis |
| First Address | Canton, MI 48188-2551 |
| Second Address | Canton, MI 48188-2551 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2021 |
| Last Update Date | 19/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.