Provider Demographics
NPI:1689355802
Name:WEBSTER, TRAVIS (THD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:THD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 NOB HILL DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-2121
Mailing Address - Country:US
Mailing Address - Phone:803-873-1606
Mailing Address - Fax:
Practice Address - Street 1:4740 NOB HILL DR
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-2121
Practice Address - Country:US
Practice Address - Phone:803-873-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001855106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist