Individual
JAMES G. BAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21752 GELDING DR, LINCOLN, DE 19960-2516
(302) 841-8763
Mailing address
21752 GELDING DR, LINCOLN, DE 19960-2516
(302) 841-8763
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000614
—
DE
Enumeration date
09/22/2020
Last updated
09/22/2020
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