Dr. Travis Dauntia Fultz is a Chino, California based psychologist with 22 years of experience in General Psychology. He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Travis Dauntia Fultz is PSY 19419 for General Psychology in California. His current practice location is 13193 Central Avenue, Suite 200, Chino. Patients can reach him at 909-902-9111 or can fax him at 909-902-9199. Dr. Travis Dauntia Fultz is PSYD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1831171388. Dr. Travis Dauntia Fultz is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Travis Dauntia Fultz speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Travis Dauntia Fultz
Specialization:
General Psychology
Gender:
Male
Credentials:
PSYD
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2002
Accepts Medicare Assignment:
Yes
Practice Address:
13193 Central Avenue, Suite 200, Chino, California, 91710
Phone:
909-902-9111
Fax:
909-902-9199
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4486621596
Enrollment ID:
I20040916000550
NPI Number:
1831171388
NPI Enumeration Date:
18 Nov, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Travis Dauntia Fultz are as mentioned below.
License Number
Specialization
State
Status
PSY 19419
General Psychology
California
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Travis Dauntia Fultz is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Foothills Psychological Services, Inc. (9436157534)
27
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Travis Dauntia Fultz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PSY 194190
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Travis Dauntia Fultz 13193 Central Avenue, Suite 200 Chino, California
Zip:
91710
Phone Number:
909-902-9111
Fax Number:
909-902-9199
Patients can reach Dr. Travis Dauntia Fultz at 13193 Central Avenue, Suite 200, Chino, California or can call to book an appointment on 909-902-9111.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.