Individual
DR. JONATHAN BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4205 SPRINGHURST BLVD STE 202, LOUISVILLE, KY 40241-6160
(502) 618-2060
Mailing address
4205 SPRINGHURST BLVD STE 202, LOUISVILLE, KY 40241-6160
(502) 618-2060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
268117
KY
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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