Healthcare Provider Details

I. General information

NPI: 1679071880
Provider Name (Legal Business Name): JULIE LEIGH BAUER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W EL CAMINO REAL STE 280
SUNNYVALE CA
94087-8127
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 669-201-3177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number146690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: