Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 37PC00627700 | NJ |
NPI | 1003314220 |
---|---|
Provider Name | Robert William Baur I |
First Address | Piscataway, NJ 08854-8021 |
Second Address | Cherry Hill, NJ 08002-4813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2018 |
Last Update Date | 01/03/2021 |