Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY11082 | CA |
NPI | 1114007317 |
---|---|
Provider Name | Dr. Eugene Charles Baumann |
First Address | Norwalk, CA 90650-3177 |
Second Address | Norwalk, CA 90650-3177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |