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Corey Michael Bayliss, Ph.D.

Psychologist in Eglin Afb, FL. Individual provider (NPI-1).

NPI number1891024451
StatusActive
Last updated in NPPESAug 9, 2018

Details

NPI
1891024451
Entity type
Individual (NPI-1)
Name
Corey Michael Bayliss
Credential
Ph.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2009
Last updated
Aug 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist1872ALYes

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542

Phone 850-883-8600

Mailing address

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Phone 850-883-8600

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