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NPI Code Detail

MEDICARE: MEREDITH BAUER LPC

MEDICARE: MEREDITH 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1932607488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH BAUER LPC
Provider Business Mailing Address
First Line : 1612 HEIGHTS BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1502 SAWYER ST STE 234
Second Line :
City : HOUSTON
State : TX
Zip : 77007-4446
Country : US
Telephone Number : 281-783-4142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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