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NPI Code Detail

MEDICARE: DR. SHERI BAUMAN LICENSED PSYCHOLOGIS

MEDICARE:  DR. SHERI  BAUMAN  LICENSED PSYCHOLOGIS
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
1103T00000XPsychologist0776NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BCBS #00JD77OTHERNMBCBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3NM102111OTHERNMVALUE OPTIONS

General Provider Information

NPI Number : 1548276298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERI BAUMAN LICENSED PSYCHOLOGIS
Provider Business Mailing Address
First Line : 3100 MESILLA HILLS DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-8608
Country : US
Telephone Number : 505-644-7665
Fax Number : 505-527-2115
Provider Business Practice Location Address
First Line : 330 N CAMPO ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3433
Country : US
Telephone Number : 505-644-7665
Fax Number : 505-525-3560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SHERI BAUMAN LICENSED PSYCHOLOGIS” Practice Location

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