MR. Joseph James Bauer, MSE., LP

NPI #1083717433 in Forest Lake, Minnesota

Provider Information

NPI Number: 1083717433
Entity Type: Individual
Name: MR. Joseph James Bauer, MSE., LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MSE., LP
Enumeration Date: Sep 7, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1068 S. LAKE ST. #109
City: Forest Lake
State: Minnesota
ZIP Code: 55025
Phone: (612) 817-5487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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