BRUCE C BAXLEY

Dr BRUCE C BAXLEY is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1978.

Contact

230 2ND ST
SUITE 202
ENCINITAS
CA
920243275

Tel: 8582713060

BRUCE C BAXLEY Information

Npi 1154477362
Pac Id 5294994505
Professional Enrollment Id I20120306000631
Last Name BAXLEY
First Name BRUCE
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 230 2ND ST
Line 2 Street Address SUITE 202
Marker Of Address Line 2 Suppression
City ENCINITAS
State CA
Zip Code 920243275
Phone Number 8582713060
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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