Individual
DR. DEBRA L BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
625 MIRAMONTES ST, SUITE 204, HALF MOON BAY, CA 94019-1942
(650) 712-1950
Mailing address
625 MIRAMONTES ST, SUITE 204, HALF MOON BAY, CA 94019-1942
(650) 712-1950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18003
CA
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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