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Individual

DAVID E BAUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60523289
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0346983
LABOR& INDUSTRIES
WA
05
2047193
WA
Enumeration date
07/27/2015
Last updated
03/02/2016
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