Individual
MARY RYERSON BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 779-5273
Mailing address
3168 OAKSHIRE DR, LOS ANGELES, CA 90068-1743
(818) 779-5273
(323) 851-2350
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 17065
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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