MEDICARE: KATHERINE BAUER LPC

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	101Y00000X	Counselor	C2507077	OH

General Provider Information

NPI Number	:	1801784194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE BAUER LPC

Provider Business Mailing Address
First Line	:	9957 DARROW PARK DR APT 223B
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1465
Country	:	US
Telephone Number	:	440-290-9526
Fax Number	:

Provider Business Practice Location Address
First Line	:	8440 STATION ST
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4925
Country	:	US
Telephone Number	:	440-290-9526
Fax Number	:

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

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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Directions to “ KATHERINE BAUER LPC” Practice Location

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