Whalio Doctors

NPI 1215777834

Dickie M. Travinski, PRSS

Practitioner Peer Specialist Shreveport, LA

Practice location

Address
527 Crockett St, Shreveport, LA 71101-3601
Phone
(318) 222-8511
Fax
(318) 317-3333
Mailing address
2000 Fairfield Ave, Shreveport, LA 71104-2002

Registered specialties (2)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence OBHPSS1038 (LA)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1215777834
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 May 2024
Record last updated
25 Jul 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.