Iris Elizabeth Baly
Clinical Psychologist
30 Quail Hill Ln
El Sobrante
, California 94803-2834
Iris Elizabeth Baly
Clinical Psychologist
30 Quail Hill Ln
El Sobrante
, California 94803-2834
(510) 222-6045
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Iris Elizabeth Baly
- Po Box 10116
- Oakland, CA
- Zip : 94610-0116
- Fax : (510) 222-6045
- Phone : (510) 644-3048
Second Address
- Iris Elizabeth Baly
- 30 Quail Hill Ln
- El Sobrante, CA
- Zip : 94803-2834
- Fax : (510) 222-6045
- Phone : (510) 644-3048
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY 10034 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY 10034 | CA |
National Provider Identifier
| NPI | 1013071463 |
|---|---|
| Provider Name | Iris Elizabeth Baly |
| First Address | Oakland, CA 94610-0116 |
| Second Address | El Sobrante, CA 94803-2834 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 26/02/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.