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ANDREA U BAUCHOWITZ PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1659460129
Individual Registrant: ANDREA U BAUCHOWITZ PH.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679 Fax: 909-425-6635
Tel: 909-425-7679 Fax: 909-425-6635
Contact information for business:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679 Fax: 909-425-6635
Tel: 909-425-7679 Fax: 909-425-6635
Registration Information:
NPI: 1659460129
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | VA | 0810003302 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 010064902 | VA | 05 |
