Halla-Bauer Psychological Services Corporation

NPI #1619110921 in Lagrange, Georgia

Provider Information

NPI Number: 1619110921
Entity Type: Organization
Organization Name: Halla-Bauer Psychological Services Corporation
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 16, 2009
Last Updated: Apr 16, 2009

Practice Location

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

Authorized Official

Name: HEIDI ANN HALLA-BAUER, PSYD
Title: PSYCHOLOGIST/OWNER
Phone: (706) 885-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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