Individual
DONALD E BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2412 S CLIFF AVE, SUITE 200, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Mailing address
2412 S CLIFF AVE, SUITE 200, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
467
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982865754
BCBS MN
—
05
—
1982865754
—
MN
05
—
6552680
—
SD
01
—
9266754
DAKOTACARE
—
Enumeration date
06/24/2008
Last updated
10/09/2009
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