Individual
STACEY M. BAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1145 S GRAND AVE, GLENDORA, CA 91740-5013
(909) 394-1667
(909) 575-4783
Mailing address
1145 S GRAND AVE, GLENDORA, CA 91740-5013
(909) 394-1667
(909) 575-4783
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY27111
CA
Other
Enumeration date
07/22/2015
Last updated
05/06/2024
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