Provider Demographics
NPI:1558302109
Name:BAER, GAYLE RENEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:RENEE
Last Name:BAER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5500 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-1750
Mailing Address - Country:US
Mailing Address - Phone:504-885-1442
Mailing Address - Fax:504-885-1441
Practice Address - Street 1:5500 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-1750
Practice Address - Country:US
Practice Address - Phone:504-885-1442
Practice Address - Fax:504-885-1441
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA447103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA9274OtherBLUE CROSS