J M Baldus, INC

NPI #1730520172 in Mound, Minnesota

Provider Information

NPI Number: 1730520172
Entity Type: Organization
Organization Name: J M Baldus, INC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jul 15, 2013
Last Updated: Jul 15, 2013

Practice Location

Address: 5200 MAYWOOD RD
City: Mound
State: Minnesota
ZIP Code: 55364-1775
Phone: (763) 913-6292

Authorized Official

Name: JAMES MICHAEL BALDUS, PHD, LP
Title: PSYCHOLOGIST
Phone: (763) 913-6292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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