Antonia Travisano, PSYD - Psychologist in Shaw Afb, SC

Antonia Travisano, PSYD is a Psychologist - Clinical based in Shaw Afb, South Carolina. Antonia Travisano is licensed to practice in Virginia (license number 0810007634) and her current practice location is 431 Meadowlark St, Shaw Afb, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 895-6199.

NPI number for Antonia Travisano is 1376162214 and her current mailing address is 431 Meadowlark St, Shaw Afb, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376162214.

Contact Information

Antonia Travisano, PSYD
431 Meadowlark St,
Shaw Afb, SC 29152-5019
(803) 895-6199
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAntonia Travisano
GenderFemale
SpecialityPsychologist - Clinical
Location431 Meadowlark St, Shaw Afb, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376162214
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 03/15/2022

Medical Identifiers

Medical identifiers for Antonia Travisano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376162214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810007634 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonia Travisano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Antonia Travisano, PSYD
431 Meadowlark St,
Shaw Afb, SC 29152-5019

Ph: () -
Antonia Travisano, PSYD
431 Meadowlark St,
Shaw Afb, SC 29152-5019

Ph: (803) 895-6199

Reviews and Comments


Psychologist in Shaw Afb, SC

Dr. Ryan R Landoll, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 431 Meadowlark St, Shaw Afb, SC 29152
Phone: 803-895-6199    
Dr. Daphine Lugo, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 411 Polifka Dr, Shaw Afb, SC 29152
Phone: 803-895-6119    

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