Bradley, Elise Baldwin
Bradley, Elise Baldwin is an individual health care provider with primary practice located at 12526 High Bluff Drive Suite Suite 300, San Diego CA 92130. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bradley, Elise Baldwin can be contacted via phone (858) 314-8335.Contact Information
Primary practice address
12526 High Bluff Drive Suite Suite 300
San Diego CA 92130
Phone: (858) 314-8335
Fax: (855) 706-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | P0000003132 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32335 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000003132 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 32335 | California |
Profile Details
| NPI number | 1295120491 |
|---|---|
| LBN Legal business name | Bradley, Elise Baldwin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2015 |
| Last updated | Mar 12th, 2021 - about 5 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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