Provider Demographics
NPI:1568504009
Name:BAER, BARBARA SUE (BS EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SUE
Last Name:BAER
Suffix:
Gender:F
Credentials:BS EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 OLD BONHOMME RD
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-4328
Mailing Address - Country:US
Mailing Address - Phone:314-993-2584
Mailing Address - Fax:
Practice Address - Street 1:641 N NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6713
Practice Address - Country:US
Practice Address - Phone:314-872-3345
Practice Address - Fax:314-872-3180
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist