=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124964176
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OLIVIA BAUER
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2026
-----------------------------------------------------
Last Update Date | 04/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1610 HARTSVILLE CIR
-----------------------------------------------------
City | WARMINSTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18974-1885
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-337-5125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1610 HARTSVILLE CIR
-----------------------------------------------------
City | WARMINSTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18974-1885
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PC019478
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------