NPI age
1 years
Enumerated 2024-10-19
● Active
Type 1 · Individual
Vanessa Bautista
Bautista is 1 of 1 psychologist providers in Fort Moore and 1 of 68 in Georgia.
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 68 active psychologist providers in Georgia.
NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
5253 10th Armored Loop
Fort Moore, GA 319057088
Mailing address
5253 10th Armored Loop
Fort Moore, GA 319057088
Specialties
-
Psychologist PrimaryA psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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