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NPI Code Detail

MEDICARE: MS. REBECCA LYNN BAUMILLER LPC

MEDICARE: MS. REBECCA LYNN BAUMILLER 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 CounselorPC006404PA

General Provider Information

NPI Number : 1952664286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA LYNN BAUMILLER LPC
Provider Business Mailing Address
First Line : 111 ROBERTS RD
Second Line : SUITE 150
City : GRINDSTONE
State : PA
Zip : 15442-1105
Country : US
Telephone Number : 724-785-4346
Fax Number : 724-364-7117
Provider Business Practice Location Address
First Line : 111 ROBERTS RD
Second Line : SUITE 150
City : GRINDSTONE
State : PA
Zip : 15442-1105
Country : US
Telephone Number : 724-785-4346
Fax Number : 724-364-7117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 11/03/2023

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