Individual provider · Type 1 NPI

Travis Martin Shivley-Scott, PhD

Clinical Neuropsychologist · Mather, CA

NPI number 1609445444 Active

Practice location

10535 Hospital Way
Mather, CA 95655-4200

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X32064 (CA)
Psychologist 103T00000X32064 (CA)
Clinical Neuropsychologist Primary 103G00000X32064 (CA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1609445444

Travis Martin Shivley-Scott, PhD's National Provider Identifier is 1609445444, issued on Jun 24, 2021. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Mather, CA. The record was last updated on Oct 13, 2026.