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COREY MICHAEL BAYLISS PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891024451

Individual Registrant:
 COREY MICHAEL BAYLISS PH.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542 US
Tel: 850-883-8600  Fax: --

Contact information for business:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8600  Fax: --

Registration Information:
NPI: 1891024451
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
AL1872

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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