Individual
DR. OLIVIA BAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
207 ROCK PRAIRIE RD STE B, COLLEGE STATION, TX 77845-8777
(979) 310-4371
(979) 256-0873
Mailing address
207 ROCK PRAIRIE RD STE B, COLLEGE STATION, TX 77845-8777
(979) 310-4371
(979) 256-0873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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