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Individual

DR. CRYSTAL BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2820 NILES RD, SAINT JOSEPH, MI 49085-3338
(773) 238-8068
Mailing address
213 W INSTITUTE PL STE 500, CHICAGO, IL 60610-8792
(773) 234-8068

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1415
KS
103TC0700X
Clinical Psychologist
Primary
071.009484
IL
103TC0700X
Clinical Psychologist
20042751A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1415
TLMLP
KS
Enumeration date
08/23/2011
Last updated
02/04/2026
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