Provider Demographics
NPI:1508654328
Name:BAUMAN, REBECCA ISABELLE (MS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ISABELLE
Last Name:BAUMAN
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 S CULPEPPER CIR STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4206
Mailing Address - Country:US
Mailing Address - Phone:417-882-4110
Mailing Address - Fax:
Practice Address - Street 1:3520 S CULPEPPER CIR STE C
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4206
Practice Address - Country:US
Practice Address - Phone:417-882-4110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor