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Contact Information

MICHAEL TRAVISANO, PSY.D., PSYCHOLOGIST
100 COMMERCE DR STE 300
NEWARK, DE19713-2878
 Phone: 302-224-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL TRAVISANO · (Male)

NPI Number 1588285159
Status Active
Credentials PSY.D., PSYCHOLOGIST
Entity Individual
Enumeration date 05/05/2020
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • DE License # B1-0011432
  • SC License # 1780
  • DE Other B1-0011432 STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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