Provider Demographics
NPI:1427187095
Name:BAUER, CHRISTOPHER G (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:G
Last Name:BAUER
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 1:1604 BURTON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3018
Mailing Address - Country:US
Mailing Address - Phone:615-268-8726
Mailing Address - Fax:615-658-9995
Practice Address - Street 1:229 WARD CIR
Practice Address - Street 2:SUITE B-21
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7518
Practice Address - Country:US
Practice Address - Phone:615-268-8726
Practice Address - Fax:615-658-9995
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP001689103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical