Individual
DR. LYNDSEY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-4101
(315) 624-4105
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-4101
(315) 624-4105
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
68018042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03318421
—
NY
Enumeration date
05/22/2009
Last updated
02/04/2015
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