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Organization

BETH BAUMEISTER, PH.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETH MICHELLE BAUMEISTER PH.D. (OWNER)
(626) 221-6187
Entity
Organization

Contact information

Practice address
1546 CALLE HONDANADA, THOUSAND OAKS, CA 91360-6825
(626) 221-6187
(626) 221-6187
Mailing address
2239 TOWNSGATE RD, SUITE 107, WESTLAKE VILLAGE, CA 91361-2405
(626) 221-6187
(626) 221-6187

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20565
CA

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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