Individual
MALLORY VERONICA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 ELM ST APT 1, NORTHAMPTON, MA 01060-2878
(818) 345-2345
Mailing address
282 ELM ST APT 1, NORTHAMPTON, MA 01060-2878
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
Primary
OTL15520
MA
Other
Enumeration date
06/29/2019
Last updated
02/04/2026
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