Individual
DR. DAVID ERIC BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LICDC
Contact information
Practice address
9403 KENWOOD RD STE C111, BLUE ASH, OH 45242
(513) 792-1272
(513) 891-4449
Mailing address
9403 KENWOOD RD STE C111, BLUE ASH, OH 45242-6857
(513) 792-1272
(513) 891-4449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161351
OH
103TC0700X
Clinical Psychologist
Primary
07686
OH
Other
Enumeration date
12/02/2016
Last updated
07/31/2018
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