| Katherine J Baum PC | |
|
160 Benmont Ave Suite 20 Bennington VT 05201-1873 | |
| (802) 442-3520 | |
| (802) 447-3392 |
| Full Name | Katherine J Baum PC |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 160 Benmont Ave, Bennington, Vermont |
| Authorized Official Name and Position | Jennifer Pare (BILLER) |
| Authorized Official Contact | 8027730250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine J Baum PC 242 Willow Rd Bennington VT 05201-8038 Ph: (802) 442-3520 | Katherine J Baum PC 160 Benmont Ave Suite 20 Bennington VT 05201-1873 Ph: (802) 442-3520 |
| NPI Number | 1336451731 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336451731 | NPI | - | NPPES |
| 4144421 | Other | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0480000854 (Vermont) | Primary |
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