Provider Demographics
NPI:1013170828
Name:MORGAN, TRAVIS G (PSYD)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:G
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BUCKLAND HALL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-5354
Mailing Address - Country:US
Mailing Address - Phone:912-622-3993
Mailing Address - Fax:
Practice Address - Street 1:800 BUCKLAND HALL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-5354
Practice Address - Country:US
Practice Address - Phone:912-622-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3354103TC0700X
HI1158103TC0700X
GAPSY004799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical