Individual
MS. ANAIYA BAUKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPA
Contact information
Practice address
1175 KINWEST PKWY STE 100, IRVING, TX 75063-3409
(214) 940-9089
Mailing address
9595 ROMBAUER RD APT 202, COPPELL, TX 75019-1203
(484) 994-9478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
40159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40159
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
01/16/2023
Last updated
05/20/2024
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