MEDICARE: JULIA BAUM

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962846261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA BAUM

Provider Business Mailing Address
First Line	:	195 BROADWAY FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-6128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4268 ADAMS AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-2518
Country	:	US
Telephone Number	:	347-651-0541
Fax Number	:

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

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	08/01/2023

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Directions to “ JULIA BAUM ” Practice Location

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