Individual
MS. CORRINE ARLENE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
3570 LEXINGTON AVE N, 100, SHOREVIEW, MN 55126-8049
(651) 481-0664
(651) 481-3907
Mailing address
2662 SOUTH AVE E, SAINT PAUL, MN 55109-3311
(651) 773-3513
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D21BA
BCBS
MN
01
—
HP18513
HEALTHPARTNERS
MN
Enumeration date
11/27/2006
Last updated
07/08/2007
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