Individual provider · NPI-1

David Harvey Bauman, LCSW

Nutritionist · Houston, TX

NPI number1154499309
StatusActive
Last updated in NPPESDec 10, 2014

Details

NPI
1154499309
Entity type
Individual (NPI-1)
Name
Mr. David Harvey Bauman
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 4, 2006
Last updated
Dec 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X NutritionistS24073TXYes
1041C0700X Social Worker, ClinicalS24073TX

Practice location

13843 Cherry Hollow Ln
Houston, TX 77082

Phone 832-499-5233

Mailing address

13843 Cherry Hollow Ln
Houston, TX 77082

Phone 832-499-5233

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