Provider Demographics
NPI:1558344317
Name:BAUMANN, JANET E III (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:E
Last Name:BAUMANN
Suffix:III
Gender:F
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:2030 E FLAMINGO RD
Mailing Address - Street 2:SUITE 261
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0831
Mailing Address - Country:US
Mailing Address - Phone:702-212-9800
Mailing Address - Fax:702-313-6748
Practice Address - Street 1:2030 E FLAMINGO RD
Practice Address - Street 2:SUITE 261
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0818
Practice Address - Country:US
Practice Address - Phone:702-212-9800
Practice Address - Fax:702-313-6748
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVPY0402103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002602092Medicaid
NV002602092Medicaid