MEDICARE: DR. TRAVIS DRAKE FLOWER PSY.D., J.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810003956	VA

General Provider Information

NPI Number	:	1699259812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS DRAKE FLOWER PSY.D., J.D.

Provider Business Mailing Address
First Line	:	3412 TENNESSEE DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1225
Country	:	US
Telephone Number	:	302-388-4488
Fax Number	:

Provider Business Practice Location Address
First Line	:	10721 MAIN ST STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6902
Country	:	US
Telephone Number	:	302-388-4488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2018
Last Update Date	:	04/06/2026

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