Individual
LANCE J. BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
50 CRESTWOOD EXECUTIVE CTR, SUITE519, SAINT LOUIS, MO 63126-1945
(314) 965-2415
(314) 845-3443
Mailing address
50 CRESTWOOD EXECUTIVE CTR, SUITE519, SAINT LOUIS, MO 63126-1945
(314) 965-2415
(314) 845-3443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0148
MO
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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