Provider Demographics
NPI:1568635126
Name:BAXTER, JOSLYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSLYN
Middle Name:
Last Name:BAXTER
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 1:2252 FILLMORE ST STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-7805
Mailing Address - Country:US
Mailing Address - Phone:415-625-9801
Mailing Address - Fax:415-625-9801
Practice Address - Street 1:2252 FILLMORE ST STE 302
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-7805
Practice Address - Country:US
Practice Address - Phone:415-625-9801
Practice Address - Fax:415-625-9801
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28960103T00000X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy