Individual
DR. MARIO LEHENBAUER-BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1881 NE 26TH ST STE 216, WILTON MANORS, FL 33305-1400
(615) 582-8602
Mailing address
1881 NE 26TH ST STE 216, WILTON MANORS, FL 33305-1400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10815
FL
103TC0700X
Clinical Psychologist
3278
TN
Other
Enumeration date
03/01/2017
Last updated
07/11/2023
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