MRS. MALLORY LYNN BAUM


Address: 606 N. Mulberry, Derby, KS 67037
Phone: 3167886464

MRS. MALLORY LYNN BAUM (NPI# 1356598486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356598486
Entity Type Individual
Full Name MRS. MALLORY LYNN BAUM
Credential LMFT
Practice Address 606 N. Mulberry
Derby
KS 67037
Mailing Address 1434 S Ellis St
Wichita
KS 67211-3527
Practice Telephone 3167886464
Practice Fax Number 2062991262
Mailing Telephone 3162041584
Mailing Fax Number 2062991262
Enumeration Date 2008-08-20
Last Update Date 2009-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1054 KS Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200574520A 05

Office Location

Street Address 606 N. MULBERRY
City DERBY
State KS
Zip Code 67037

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114409182 Lori Renee Young Counselor 1144 N. Buckner, Derby, KS 67037 2018-09-05
1295227585 James Todd Hawkins Social Worker 918 E Wedgewood Dr., Derby, KS 67037 2018-06-01
1518454842 Rock Regional Hospital, LLC General Acute Care Hospital 3251 Rock Road, Derby, KS 67037 2018-04-23
1093161325 Inspired Care LLC In Home Supportive Care 1400 E Warren Ave, Derby, KS 67037 2016-05-05
1083095970 Emily O'dell Family Medicine 1640 E Tall Tree Rd, Derby, KS 67037 2015-06-16
1700264017 Grant Snider Dds, LLC Dentist 2701 North Rock Road, Suite 600, Derby, KS 67037 2015-05-07
1629472691 Anaidy Claudio Social Worker 265 W Village Lake Dr, Derby, KS 67037 2014-10-20
1396094470 Derby Assisted Living, LLC Assisted Living Facility 719 N. Klein Circle, Derby, KS 67037 2012-09-05
1700104635 Cynthia D Holcomb Social Worker 1721 E. Osage, Suite 300, Derby, KS 67037 2010-05-17
1295066215 Traci Lynn Borland Occupational Therapist 731 Klein Circle, Derby, KS 67037 2010-01-15
Find all providers in zip 67037

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376193011 Suzanne M Compton Marriage & Family Therapist 2306 E Meadowlark Blvd, Derby, KS 67037-4033 2019-09-15
1255877130 Davis Companies LLC Marriage & Family Therapist 1033 N Buckner St Ste 206, Derby, KS 67037-1861 2017-01-16
1396142030 Cynthia S George Marriage & Family Therapist 1415 N Buckner St, Derby, KS 67037-2929 2014-11-24
1346641636 Cristinette Likiardopoulos Marriage & Family Therapist 215 E Madison Ave, Derby, KS 67037-1711 2014-09-05
1255731055 Randi Black Marriage & Family Therapist 1121 N College Park St Ste 200, Derby, KS 67037-3639 2014-08-28
1144596214 Courtney L Clark,lcmft, LLC Marriage & Family Therapist 920 N Rock Rd, Derby, KS 67037-3552 2012-03-22
1326282435 Margaret King Anderson Marriage & Family Therapist 50 Olivia St, Derby, CT 06418-1735 2009-04-21
1780859165 Amy Meek Family Therapy Marriage & Family Therapist 1525 N Buckner St, Derby, KS 67037-2948 2008-04-25
1376743567 George J Sevick Marriage & Family Therapist 1033 N. Buckner, Suite 206, Derby, KS 67037 2007-07-25
1316971997 Amber Harris Marriage & Family Therapist 1033 N Buckner St, 206, Derby, KS 67037-1824 2006-07-10
Find all providers in DERBY

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City DERBY
Zip Code 67037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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