Organization
CENTER FOR HUMAN POTENTIAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH G BAUM PH.D. (PRESIDENT)
(727) 894-9777
Entity
Organization
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
VALUE OPTIONS
FL
Enumeration date
04/22/2008
Last updated
01/31/2015
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