Doctor Name: | DR. BRET M BALDWIN |
NPI Number: | 1134225386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 32036 |
Business Practice Address: | 704 Bear Creek Dr Murphy, TX - 750944133 |
Business Phone Number: | 2146691355 |
Business Fax Number: | |
Mailing Address: | 704 Bear Creek Dr, MURPHY |
State: | TX |
Postal Code: | 750944133 |
Phone Number: | 2149238978 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 32036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |