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Individual
DR. KELLY BAIER
Active
Individual
DR. KELLY BAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
PSY22425
CA
103T00000X
Psychologist
PSY22425
CA
103TC0700X
Clinical Psychologist
Primary
PSY22425
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY22425
CA
Other
Enumeration date
03/15/2010
Last updated
10/13/2011
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