NPI 1003632159

Travis Ulyses Doughty, CPRS

Practitioner Peer Specialist Columbus, OH

Practice location

Address: 700 Bryden Rd STE 128, Columbus, OH 43215-4839
Phone: (614) 462-0236
Fax: (614) 462-0236

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003632159
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2024
Record last updated: 22 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.