Most Relevant Information
Provider Data
| NPI Number: | 1003384306 |
| Provider Name: | TRAVIS FOX PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 3343-57 |
Most Important Dates
| Enumeration Date: | 11/05/2018 |
| Last Updated: | 11/05/2018 |
Provider Practice Location
4513 VERNON BLVD STE 100
MADISON
WI
537054964
Practice Location Phone/Fax
| Phone: | 5037300072 |
| Fax: |
Provider Mailing Location
333 EAST CAMPUS MALL
MADISON
WI
537151365
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |