Provider Demographics
NPI:1316904535
Name:BAUGHMAN, CYNTHIA NORRIS (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NORRIS
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 LAIRD DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1901
Mailing Address - Country:US
Mailing Address - Phone:801-466-7467
Mailing Address - Fax:
Practice Address - Street 1:3809 S WEST TEMPLE
Practice Address - Street 2:#1-B
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-4467
Practice Address - Country:US
Practice Address - Phone:801-268-4454
Practice Address - Fax:801-268-2176
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT35095135011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical