Doctor Name: | JOCELYN BAITZ |
NPI Number: | 1275741233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 000681 |
Business Practice Address: | 970 Newbridge Rd North Bellmore, NY - 117101623 |
Business Phone Number: | 5162865572 |
Business Fax Number: | |
Mailing Address: | 970 Newbridge Rd, NORTH BELLMORE |
State: | NY |
Postal Code: | 117101623 |
Phone Number: | 5162865572 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |