Individual
ALLICIA D BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2004033753
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498443803
—
MO
Enumeration date
06/23/2005
Last updated
04/10/2026
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