Provider Demographics
NPI:1639156359
Name:BAUGHMAN, CARL L (LMFT)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:L
Last Name:BAUGHMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1231
Mailing Address - Country:US
Mailing Address - Phone:412-741-7430
Mailing Address - Fax:412-741-5171
Practice Address - Street 1:414 GRANT ST
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1231
Practice Address - Country:US
Practice Address - Phone:412-741-7430
Practice Address - Fax:412-741-5171
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
PAMF000184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist