National Provider Identifier
Travis Bradley Brown
Travis Bradley Brown is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 541-4129.
Profile Overview
- NPI
- 1821722802
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
Practice Location
- 345 Davidson Ave
- Buffalo, NY 14215-2346
Phone: (716) 541-4129
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1821722802
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Travis
- Middle Name
- Bradley
- Mailing Street Address
- 345 Davidson Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2346
- Mailing Country
- US
- Mailing Phone
- (716) 541-4129
- Practice Street Address
- 345 Davidson Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2346
- Practice Country
- US
- Practice Phone
- (716) 541-4129
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)