Individual
DR. KATHERINE JEAN BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5 FUNDY RD, FALMOUTH, ME 04105-1774
(207) 808-8059
(207) 808-8069
Mailing address
5 FUNDY RD, FALMOUTH, ME 04105-1774
(207) 808-8059
(207) 808-8069
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS2547
ME
103G00000X
Clinical Neuropsychologist
Primary
PY6303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011377
—
VT
Enumeration date
10/16/2006
Last updated
12/02/2024
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