Bauman, Kelly

Bauman, Kelly is an sole proprietor health care provider with primary practice located at 457 Coventry Ln Ste 115 , Crystal Lake IL 60014-7571. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bauman, Kelly can be contacted via phone (815) 245-4825.

Contact Information

Primary practice address
457 Coventry Ln Ste 115 Crystal Lake IL 60014-7571
Phone: (815) 245-4825
Fax: (815) 596-1008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.000207 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008887 Illinois

Profile Details

NPI number 1174802730
LBN Legal business name Bauman, Kelly
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2011
Last updated May 21st, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174802730 NPPES
Illinois Other 071008887 STATE LICENSE
Illinois Other 166.000207 STATE LICENSE

Popular Providers