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NPI Code Detail

MEDICARE: DR. ANNA MARIE BAUGHMAN PSY.D.

MEDICARE: DR. ANNA MARIE BAUGHMAN PSY.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1407990369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA MARIE BAUGHMAN PSY.D.
Provider Business Mailing Address
First Line : 2825 W 42ND AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-2830
Country : US
Telephone Number : 907-243-5130
Fax Number :
Provider Business Practice Location Address
First Line : 2825 W 42ND AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-2830
Country : US
Telephone Number : 907-243-5130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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