Provider Demographics
NPI:1730469644
Name:PRESS BAUMGARTEN, BARBARA (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:PRESS BAUMGARTEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 WEST 6TH AVE
Mailing Address - Street 2:#107
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-999-6361
Mailing Address - Fax:509-443-1464
Practice Address - Street 1:326 W 6TH AVE
Practice Address - Street 2:#107
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2519
Practice Address - Country:US
Practice Address - Phone:509-999-6361
Practice Address - Fax:509-443-1464
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60125026101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health