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KATHERINE J BAUM PC

Clinical Neuropsychologist

Bennington, Vermont

Provider NPI: 1336451731

Organization Information:
Organization Name:  KATHERINE J BAUM PC
Organization is not Subpart
Authorized Official:  JENNIFER  PARE  BILLER  802-7730250

Practice Location:
160 BENMONT AVE SUITE 20 BENNINGTON, VT 05201 US
Tel: 802-442-3520  Fax: 802-447-3392

Business Mailing Address:
242 WILLOW RD  BENNINGTON, VT 05201 US
Tel: 802-442-3520  Fax: 802-447-3392

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VT0480000854

Other Provider Identifiers:

IssuerNumberStateType
MVP414442101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS VT - Page 1



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