DR. Michael C. Baum, PH.D.
NPI #1043337454 in Bloomington, Illinois
Provider Information
- NPI Number
- 1043337454
- Entity Type
- Individual
- Name
- DR. Michael C. Baum, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1003 MARTIN LUTHER KING DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1429
- Phone
- (309) 820-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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