Individual
DANIELLE VAUGHN BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8066 N 56TH ST, TAMPA, FL 33617-7620
(813) 983-9350
(813) 985-7149
Mailing address
8066 N 56TH ST, TAMPA, FL 33617-7620
(813) 983-9350
(813) 985-7149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3717
FL
Other
Enumeration date
11/25/2006
Last updated
07/08/2007
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