Doctor Name: | MRS. JENNIFER CATHRIN BAYLE |
NPI Number: | 1174928402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | IMF83100 |
Business Practice Address: | 17130 Sequoia St Suite 106 Hesperia, CA - 92345 |
Business Phone Number: | 7609850646 |
Business Fax Number: | 7609953119 |
Mailing Address: | 17130 Sequoia St, Suite 106 HESPERIA |
State: | CA |
Postal Code: | 92345 |
Phone Number: | 7609850646 |
Fax Number: | 7609953119 |
NPI Enumeration Date: | 10/29/2014 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF83100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |