Bauer, Jaclyn Mayberry
Bauer, Jaclyn Mayberry is an sole proprietor health care provider with primary practice located at 6400 Canoga Ave Suite 154, Woodland Hills CA 91367-2425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bauer, Jaclyn Mayberry can be contacted via phone (310) 926-3192.Contact Information
Primary practice address
6400 Canoga Ave Suite 154
Woodland Hills CA 91367-2425
Phone: (310) 926-3192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY22799 | California |
Profile Details
| NPI number | 1467648089 |
|---|---|
| LBN Legal business name | Bauer, Jaclyn Mayberry |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Jan 1st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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