Brian Robert Baucom in Los Angeles - Psychologist
Brian Robert Baucom - NPI 1982868378
Brian Robert Baucom is a Psychologist in Los Angeles, California. Brian Robert Baucom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brian Robert Baucom is 1982868378. The last update date is 2008-07-15.
Brian Robert Baucom's current location address is 6310 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3106259267. The mailing address for Brian Robert Baucom is 6310 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Robert Baucom |
|---|---|
| Address | 6310 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3106259267 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1982868378 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 6310 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900485426 |
| Phone Number | 3106259267 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSB 33264 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique provider identifier assigned to Brian Robert Baucom?
The Brian Robert Baucom has been issued the NPI (National Provider Identifier) 1982868378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Brian Robert Baucom is physically located?
The Brian Robert Baucom is situated at the following address: 6310 San Vicente Blvd, Los Angeles, CA 900485426.
What is Brian Robert Baucom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian Robert Baucom is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982868378 to Brian Robert Baucom?
The Brian Robert Baucom received its 1982868378 assignment from the Centers for Medicare & Medicaid Services on 2008-07-15.
When was the information pertaining to Brian Robert Baucom most recently updated or revised?
The details related to Brian Robert Baucom, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-15.
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