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1700179553
BAYLA TRAVIS
OAKLAND, CA
NPI
1700179553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY27316)
Enumeration Date
2011-05-25
Last Update Date
2016-02-18
Business Address
-- BAYLA TRAVIS
430 40TH ST STE 1
OAKLAND, CA 94609-2691
Phone number: 510-863-1778
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Mailing Address
-- BAYLA TRAVIS
PO BOX 5564
BERKELEY, CA 94705-0564
Phone number: 510-863-1778
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