Provider Demographics
NPI:1184219990
Name:BAYNES, STEPHANIE ANDREA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ANDREA
Last Name:BAYNES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3988 ORCHARD HILL CIR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4143
Mailing Address - Country:US
Mailing Address - Phone:971-386-8900
Mailing Address - Fax:
Practice Address - Street 1:9332 STATE ROAD 54 STE 307
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1810
Practice Address - Country:US
Practice Address - Phone:727-999-3311
Practice Address - Fax:727-478-4966
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10933103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist