Individual
CHRISTOPHER MARTIN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701-2230
(559) 264-9100
(559) 264-9199
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810002964
VA
103G00000X
Clinical Neuropsychologist
Primary
PSY24234
CA
103TC0700X
Clinical Psychologist
PSY24234
CA
103TR0400X
Rehabilitation Psychologist
PSY24234
CA
Other
Enumeration date
08/20/2006
Last updated
06/09/2014
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