Bayless, John David
Bayless, John David is an individual health care provider with primary practice located at 4785 Hayes Rd Ste 100 , Madison WI 53704-7364. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bayless, John David can be contacted via phone (319) 356-2063.Contact Information
Primary practice address
4785 Hayes Rd Ste 100
Madison WI 53704-7364
Phone: (319) 356-2063
Fax: (319) 356-2587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 00438 | Iowa |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00438 | Iowa |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 00438 | Iowa |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 00438 | Iowa |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3083-57 | Wisconsin |
Profile Details
| NPI number | 1467448738 |
|---|---|
| LBN Legal business name | Bayless, John David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Aug 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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