Provider Demographics
NPI:1699867200
Name:BARON, KAYE LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:KAYE
Middle Name:LYNN
Last Name:BARON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:635 SOUTHPOINTE CT
Mailing Address - Street 2:SUITE #110
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3877
Mailing Address - Country:US
Mailing Address - Phone:719-538-7733
Mailing Address - Fax:719-538-4724
Practice Address - Street 1:635 SOUTHPOINTE CT
Practice Address - Street 2:SUITE #110
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3877
Practice Address - Country:US
Practice Address - Phone:719-538-7733
Practice Address - Fax:719-538-4724
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2442103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical