Bruce Carroll Baxley, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Encinitas, CA

NPI

1154477362

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY6399 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-28

Last updated

2019-09-30