Basic Information
| Provider Information | |||||||||
| NPI: | 1134588320 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAY AREA CLINICAL ASSOCIATES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2864 DAUPHIN ST STE A | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514707607 | ||||||||
| FaxNumber: | 2514707609 | ||||||||
| Practice Location | |||||||||
| Address1: | 2864 DAUPHIN ST STE A | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514707607 | ||||||||
| FaxNumber: | 2514707609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2016 | ||||||||
| LastUpdateDate: | 02/16/2016 | ||||||||
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| AuthorizedOfficialLastName: | ARATA | ||||||||
| AuthorizedOfficialFirstName: | CATALINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | LICENSED PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 2514707607 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PH.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 577 | AL | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.