Individual
DR. RICHARD BAUMWOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
202 MOUNTAIN AVE, SUITE A, WESTFIELD, NJ 07090-3152
(908) 233-7801
(908) 889-4906
Mailing address
202 MOUNTAIN AVE, SUITE A, WESTFIELD, NJ 07090-3152
(908) 233-7801
(908) 889-4906
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00231600
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
35SI00231600
NJ
Other
Enumeration date
06/29/2008
Last updated
06/29/2008
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