Individual
ELAYNE P BAUMGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
3937 W MEADOW LN, BEACHWOOD, OH 44122-4720
(216) 591-1664
Mailing address
PO BOX 35216, CANTON, OH 44735-5216
(216) 591-1664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3229
OH
Other
Enumeration date
04/11/2007
Last updated
09/29/2008
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