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NPI Code Detail

MEDICARE: KAMI H BAUER LCPC

MEDICARE: KAMI H BAUER LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLC17061MD

General Provider Information

NPI Number : 1063105799
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMI H BAUER LCPC
Provider Business Mailing Address
First Line : 344 ERICSON CT
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-3718
Country : US
Telephone Number : 856-313-8546
Fax Number :
Provider Business Practice Location Address
First Line : 344 ERICSON CT
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-3718
Country : US
Telephone Number : 856-313-8546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 04/13/2026

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