Provider Demographics
NPI:1295854032
Name:BAUGESS, DAN W (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:W
Last Name:BAUGESS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 OVERLOOK TER
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-9289
Mailing Address - Country:US
Mailing Address - Phone:570-977-8351
Mailing Address - Fax:
Practice Address - Street 1:568 WELLINGTON DR
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1133
Practice Address - Country:US
Practice Address - Phone:570-977-8351
Practice Address - Fax:570-620-0121
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00440700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist