Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock Ford Travis, PHD

Individual provider Psychologist · NPI 1417018987

Brock Ford Travis, PHD is a Psychologist in Lakeport, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

991 Parallel Dr
Lakeport, CA 95453-5720
Phone: (707) 994-7090
Fax: (707) 994-7096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence MENTAL HEALTH WAIVER (CA)

Record details

NPI number1417018987
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 1358, Cobb, CA 95426-1358

Other providers in Lakeport