Provider Demographics
NPI:1114118650
Name:BAUMANN, SHERYL CASSELL (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:CASSELL
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:SHERYL
Other - Middle Name:MAY
Other - Last Name:BAUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:151 N KRAEMER BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5002
Mailing Address - Country:US
Mailing Address - Phone:714-553-1277
Mailing Address - Fax:
Practice Address - Street 1:151 N KRAEMER BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5002
Practice Address - Country:US
Practice Address - Phone:714-553-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34303106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist