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NPI Code Detail

MEDICARE: COURTNEY LOUISE BAPST LMSW

MEDICARE:   COURTNEY LOUISE BAPST  LMSW
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
11041S0200XSchool Social Worker112010-01NY

General Provider Information

NPI Number : 1518728773
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LOUISE BAPST LMSW
Provider Business Mailing Address
First Line : 6917 W BERGEN RD
Second Line :
City : BERGEN
State : NY
Zip : 14416-9743
Country : US
Telephone Number : 585-494-1220
Fax Number :
Provider Business Practice Location Address
First Line : 6917 W BERGEN RD
Second Line :
City : BERGEN
State : NY
Zip : 14416-9743
Country : US
Telephone Number : 585-494-1220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/16/2024

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Directions to “ COURTNEY LOUISE BAPST LMSW” Practice Location

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