Nathan Thomas Travis, CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Accomac, VA

NPI

1619915659

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

2202004178 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-03

Last updated

2007-07-08