Baum, Allicia D

Baum, Allicia D is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Baum, Allicia D can be contacted via phone (417) 269-5400.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 269-5400
Fax: (417) 269-7212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2004033753 Missouri

Profile Details

NPI number 1376549311
LBN Legal business name Baum, Allicia D
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376549311 NPPES
Missouri MEDICAID 498443803

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