Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | TLMLP 970 | KS |
Y | 103G00000X | Clinical Psychologist | 1470 | KS |
Y | 103TC0700X | Clinical Psychologist | 1470 | KS |
NPI | 1083664668 |
---|---|
Provider Name | Veronica J Bauer |
First Address | Topeka, KS 66606-1963 |
Second Address | Topeka, KS 66606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 19/07/2018 |