Individual
COREY MICHAEL BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542
(850) 883-8600
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1872
AL
Other
Enumeration date
12/10/2009
Last updated
08/09/2018
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