TARA BAUMAN

INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC

Dr TARA BAUMAN is a female medical professional, specializing in Clinical Social Worker. She graduated in 2006.

Contact

INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC

7236 FORESTVIEW N LN
MAPLE GROVE
MN
553695656

Tel: 7634164167

TARA BAUMAN Information

Npi 1649311150
Pac Id 5395802953
Professional Enrollment Id I20090325000775
Last Name BAUMAN
First Name TARA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC
Group Practice Pac Id 3678596285
Number Of Group Practice Members 13
Line 1 Street Address 7236 FORESTVIEW N LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MAPLE GROVE
State MN
Zip Code 553695656
Phone Number 7634164167
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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