Provider Demographics
NPI:1841411766
Name:BAUM-BAICKER, CYNTHIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:BAUM-BAICKER
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 1:6111 CARVERSVILLE ROAD
Mailing Address - Street 2:BOX 216
Mailing Address - City:CARVERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18913
Mailing Address - Country:US
Mailing Address - Phone:215-297-0225
Mailing Address - Fax:
Practice Address - Street 1:1845 WALNUT STREET
Practice Address - Street 2:2323
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:215-568-5100
Practice Address - Fax:215-340-2700
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003530-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical