Individual
DR. CORISSA LYNN BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 VINE AVE NE, FORT WALTON BEACH, FL 32548-5069
(850) 226-7666
(850) 226-7499
Mailing address
3 VINE AVE NE, FORT WALTON BEACH, FL 32548-5069
(850) 226-7666
(850) 226-7499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3571
GA
103TC0700X
Clinical Psychologist
Primary
PY9440
FL
103TC0700X
Clinical Psychologist
PY9441
FL
Other
Enumeration date
11/15/2012
Last updated
11/25/2019
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