Individual
DR. KAREN E BAUMSTARK
Active
Individual
DR. KAREN E BAUMSTARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
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
Update your record
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