Provider Demographics
NPI:1033269105
Name:BAYER, LUZ PATRICIA (MFT)
Entity Type:Individual
Prefix:MS
First Name:LUZ
Middle Name:PATRICIA
Last Name:BAYER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25752 DEMETER WAY
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-4630
Mailing Address - Country:US
Mailing Address - Phone:949-457-1339
Mailing Address - Fax:949-454-1116
Practice Address - Street 1:24800 CHRISANTA DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-291-0337
Practice Address - Fax:949-707-5314
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist