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DR. JASON M. BAILIE PH.D.

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932494432

Individual Registrant:
DR. JASON M. BAILIE PH.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3102 E HIGHLAND AVE  PATTON, CA 92369-7813 US
Tel: 909-425-7658  Fax: --

Contact information for business:
3102 E HIGHLAND AVE  PATTON, CA 92369-7813 US
Tel: 909-425-7658  Fax: --

Registration Information:
NPI: 1932494432
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CA24126

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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