Baum, Mallory Lynn

Baum, Mallory Lynn is an individual health care provider with primary practice located at 606 N. Mulberry , Derby KS 67037. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Baum, Mallory Lynn can be contacted via phone (316) 788-6464.

Contact Information

Primary practice address
606 N. Mulberry Derby KS 67037
Phone: (316) 788-6464
Fax: (206) 299-1262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1054 Kansas

Profile Details

NPI number 1356598486
LBN Legal business name Baum, Mallory Lynn
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2008
Last updated Aug 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356598486 NPPES
Kansas MEDICAID 200574520A

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