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Individual

DR. KAREN E BAUMSTARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
11905 ARBOR ST, OMAHA, NE 68144-2970
(402) 330-8850
(402) 330-8873
Mailing address
14821 MARTHA CIR, OMAHA, NE 68144-2038
(402) 330-0668

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
287
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0554147
IA
01
08380
BCBS PROVIDER #
01
143189300
DOL OWCP
01
346048000
MAGELLAN PROVIDER MIS #
05
47076043402
NE
Enumeration date
10/25/2006
Last updated
07/08/2007
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