Halla-Bauer, Heidi Ann
Halla-Bauer, Heidi Ann is an sole proprietor health care provider with primary practice located at 300 Medical Dr Ste 705, Lagrange GA 30240-4130. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Halla-Bauer, Heidi Ann can be contacted via phone (706) 885-0111.Contact Information
Primary practice address
300 Medical Dr Ste 705
Lagrange GA 30240-4130
Phone: (706) 885-0111
Fax: (706) 885-0607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY003092 | Georgia |
Profile Details
| NPI number | 1154521292 |
|---|---|
| LBN Legal business name | Halla-Bauer, Heidi Ann |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jan 23rd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154521292 | NPPES |
| Georgia | MEDICAID | 874147128A |
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