Bayless, Scott L

Bayless, Scott L is an individual health care provider with primary practice located at 1844 Scenic Dr Apt 239 , Modesto CA 95355-6026. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Bayless, Scott L can be contacted via phone (209) 227-4689.

Contact Information

Primary practice address
1844 Scenic Dr Apt 239 Modesto CA 95355-6026
Phone: (209) 227-4689
Fax: (209) 227-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY13401 California

Profile Details

NPI number 1922005107
LBN Legal business name Bayless, Scott L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2005
Last updated Feb 22nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922005107 NPPES
California Other 1922005107 NO OTHER IDENTIFIERS
California Other PSY13401 NO OTHER IDENTIFIERS

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