Heidi Ann Halla-Bauer, PSY.D

NPI #1154521292 in Lagrange, Georgia

Provider Information

NPI Number: 1154521292
Entity Type: Individual
Name: Heidi Ann Halla-Bauer, PSY.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D
Enumeration Date: Jul 18, 2007
Last Updated: Jan 23, 2009

Practice Location

Address: 300 MEDICAL DR
Address 2: STE 705
City: Lagrange
State: Georgia
ZIP Code: 30240-4130
Phone: (706) 885-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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