Individual provider · NPI-1

Travis Randell Abrams Sr.

Psychologist · New York, NY

NPI number1881160034
StatusActive
Last updated in NPPESOct 18, 2018

Details

NPI
1881160034
Entity type
Individual (NPI-1)
Name
Travis Randell Abrams Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 15, 2018
Last updated
Oct 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes
104100000X Social Worker––

Practice location

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990

Phone 212-553-6606

Mailing address

590 Avenue Of The Americas
New York, NY 10011-2022

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