Healthcare Provider Details

I. General information

NPI: 1720866338
Provider Name (Legal Business Name): BAYLOR DUNCAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 CHANNEL DR
VENTURA CA
93001-3619
US

IV. Provider business mailing address

5014 LAUREL PARK DR
CAMARILLO CA
93012-5305
US

V. Phone/Fax

Practice location:
  • Phone: 816-273-2208
  • Fax:
Mailing address:
  • Phone: 816-273-2208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: