Individual
DR. JOSEPH GOTHILF BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5301 GULFPORT BLVD S, GULFPORT, FL 33707-4947
(727) 894-9777
(727) 202-1010
Mailing address
5301 GULFPORT BLVD S, GULFPORT, FL 33707-4947
(727) 894-9777
(727) 202-1010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010152
VALUEOPTIONS PROVIDER #
FL
01
—
6156253
UBH PROVIDER ID#
FL
Enumeration date
06/27/2006
Last updated
01/31/2015
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