Individual
TRAVIS BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8060 MELROSE AVE STE 200, LOS ANGELES, CA 90046-7037
(323) 568-1294
Mailing address
8060 MELROSE AVE STE 200, LOS ANGELES, CA 90046-7037
(323) 568-1294
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY34385
CA
103TC1900X
Counseling Psychologist
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Other
Enumeration date
07/15/2022
Last updated
08/06/2023
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