Mary-Jo Bautista
Clinical Psychologist
13715 Via Del Palma Ave Apt G
Whittier
, California 90602-2325
Mary-Jo Bautista
Clinical Psychologist
13715 Via Del Palma Ave Apt G
Whittier
, California 90602-2325
(808) 292-5693
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mary-Jo Bautista
- 13715 Via Del Palma Ave Apt G
- Whittier, CA
- Zip : 90602-2325
- Phone : (808) 292-5693
Second Address
- Mary-Jo Bautista
- 13715 Via Del Palma Ave Apt G
- Whittier, CA
- Zip : 90602-2325
- Phone : (808) 292-5693
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY 28789 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY 28789 | CA |
National Provider Identifier
| NPI | 1003166380 |
|---|---|
| Provider Name | Mary-Jo Bautista |
| First Address | Whittier, CA 90602-2325 |
| Second Address | Whittier, CA 90602-2325 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2012 |
| Last Update Date | 05/12/2016 |
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.