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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VANESSA BAUTISTA

Active Sole Proprietor

VANESSA BAUTISTA is a School Psychologist healthcare provider located in FORT MOORE, Georgia. NPI 1588485825 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · FORT MOORE, GA

Registration Details

NPI Number
1588485825
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2024 (1.8336758265368 yrs)
Last Updated
Oct 19, 2024
License
72067 (TX)
Sole Proprietor
Yes

Practice Information

Address
5253 10TH ARMORED LOOP
FORT MOORE, GA, 319057088
Browse GA providers · Browse ZIP 31905
Phone
8312458662
Primary Specialty
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.