MEDICARE: JAMES MICHAEL BARON MA

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
1	225400000X	Rehabilitation Practitioner	60341	CA
2	106H00000X	Marriage & Family Therapist	MFC52249	CA

General Provider Information

NPI Number	:	1962710996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL BARON MA

Provider Business Mailing Address
First Line	:	5571 NORTH GRETNA ROAD
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616
Country	:	US
Telephone Number	:	417-243-2300
Fax Number	:	417-243-2381

Provider Business Practice Location Address
First Line	:	5571 NORTH GRETNA ROAD
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616
Country	:	US
Telephone Number	:	417-243-2300
Fax Number	:	417-243-2381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	09/08/2015

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