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Individual
DR. JEFFREY IAN BASS
Active
Individual
DR. JEFFREY IAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
1437
AL
103TC0700X
Clinical Psychologist
PSY1000703
DC
Other
Enumeration date
02/20/2007
Last updated
03/31/2025
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