Provider Demographics
NPI:1831392497
Name:BAYER, DEBBIE ANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:ANNE
Last Name:BAYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 NE 176TH ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3619
Mailing Address - Country:US
Mailing Address - Phone:808-208-5624
Mailing Address - Fax:
Practice Address - Street 1:9333 NE 176TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3619
Practice Address - Country:US
Practice Address - Phone:800-820-8562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002252106H00000X
HIMFT-143106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist