Jack Baldwin
Psychologist, School in Fremont, CA. Individual provider (NPI-1).
NPI number1851200729
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1851200729
- Entity type
- Individual (NPI-1)
- Name
- Jack Baldwin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 260227147 | CA | Yes |
Practice location
3400 Nicolet AveFremont, CA 94536-3536
Phone 510-797-5940
Mailing address
3400 Nicolet AveFremont, CA 94536-3536
Phone 510-797-5940
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