| Vanessa Bautista, | |
|
5253 10th Armored Loop, Fort Moore, GA 31905-7088 | |
| (831) 245-8662 | |
| Not Available |
| Full Name | Vanessa Bautista |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 5253 10th Armored Loop, Fort Moore, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588485825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 72067 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Bautista, 5253 10th Armored Loop, Fort Moore, GA 31905-7088 Ph: (831) 245-8662 | Vanessa Bautista, 5253 10th Armored Loop, Fort Moore, GA 31905-7088 Ph: (831) 245-8662 |
Dr. Rebekah Broady, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 253-968-6391 | |
Dr. Matthew Nicholas Mascitelli, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Martin Army Community Hospital, 6600 Van Aalst Blvd. Bld 9250, Fort Moore, GA 31905 Phone: 508-854-5508 | |
Dr. Daniel Seagrave, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Martin Army, 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, GA 31905 Phone: 505-670-4484 |