Individual
JOHN DAVID BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(319) 356-2063
(319) 356-2587
Mailing address
4785 HAYES RD STE 100, MADISON, WI 53704-7364
(319) 356-2063
(319) 356-2587
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
00438
IA
103T00000X
Psychologist
00438
IA
103T00000X
Psychologist
Primary
3083-57
WI
103TF0200X
Forensic Psychologist
00438
IA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
00438
IA
Other
Enumeration date
09/22/2005
Last updated
08/04/2022
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