Keith Bauer, PH.D.

Clinical Psychologist · Wellington, FL

Individual Active NPI

NPI number 1770660193

Practice location

11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Phone
(561) 790-1191

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NPI record

NPI
1770660193
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
February 7, 2020
Certified
February 7, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY7433 FL

Mailing address

10507 Washingtonia Palm Way Apt 3821
Fort Myers, FL 33966-6423
Phone
(239) 288-7322

About Dr. Bauer

Keith Bauer, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 11120 S Crown Way Ste 1, Wellington, FL 33414-8718. The NPI number 1770660193 was assigned on November 1, 2006 and the record was last updated on February 7, 2020.

Dr. Bauer lists a license in the registry: #PY7433 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Bauer, PH.D.?

The NPI number is 1770660193.

What is the phone number of Dr. Bauer?

The phone number listed for the practice location is (561) 790-1191.

Where is Dr. Bauer located?

11120 S Crown Way Ste 1, Wellington, FL 33414-8718.

What is the taxonomy code for Dr. Bauer?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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