Individual
DR. STEVEN KEITH BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0949NEWMEXICO
NM
103T00000X
Psychologist
MI 5686
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02886006
—
NM
01
—
11271575
CAQH
NM
01
—
NMA100027
MEDICARE PTAN
NM
01
—
P00960461
RAIL ROAD MEDICARE
NM
Enumeration date
09/01/2006
Last updated
12/08/2019
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