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NPI Code Detail

MEDICARE: JANICE BAYLOR PHD

MEDICARE: JANICE BAYLOR PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1881949568
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE BAYLOR PHD
Provider Business Mailing Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 02/14/2020

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Directions to “ JANICE BAYLOR PHD” Practice Location

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