TARA M BAUMAN LADC LGSW NPI 1649311150

NPI Information

Tara M Bauman, LADC LGSW is an addiction (substance use disorder) counselor in Minnetonka, MN with 18 years of experience. Tara M Bauman, LADC LGSW NPI is 1649311150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15320 MINNETONKA BLVD #200
MINNETONKA, MN
ZIP 55345
Phone: (952) 932-7277
Fax: (952) 932-9827

The NPI 1649311150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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