Individual
DR. JEFFREY IAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(443) 467-2494
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(443) 467-2494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
1437
AL
103TC0700X
Clinical Psychologist
PSY1000703
DC
Other
Enumeration date
02/20/2007
Last updated
03/31/2025
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