Individual
DEBORAH BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2801 MARTIN LUTHER KING DR, CLEVELAND, OH 44104-3815
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209800
—
OH
Enumeration date
11/06/2006
Last updated
12/07/2007
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