Individual
DR. LINDA T BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
19 OLD TOWN SQ, FORT COLLINS, CO 80524-2471
(970) 225-1684
Mailing address
718 COLUMBIA RD, 19 OLD TOWN SQUARE, FORT COLLINS, CO 80525-1836
(970) 225-1770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1836
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1836
EDD
CO
Enumeration date
08/01/2006
Last updated
10/26/2009
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