Healthcare Provider Details

I. General information

NPI: 1003314220
Provider Name (Legal Business Name): ROBERT WILLIAM BAUR LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PINEWOOD LN
MOUNTAIN LAKES NJ
07046-1712
US

IV. Provider business mailing address

9 PINEWOOD LN
MOUNTAIN LAKES NJ
07046-1712
US

V. Phone/Fax

Practice location:
  • Phone: 973-224-4256
  • Fax:
Mailing address:
  • Phone: 973-224-4256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00627700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: