Individual
BAYLA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 40TH ST, STE 1, OAKLAND, CA 94609-2691
(510) 863-1778
Mailing address
PO BOX 5564, BERKELEY, CA 94705-0564
(510) 863-1778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27316
CA
Other
Enumeration date
05/25/2011
Last updated
02/18/2016
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