Provider Demographics
NPI:1811145469
Name:BAUMAN, CHRISTOPHER E (MS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:E
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0282
Mailing Address - Country:US
Mailing Address - Phone:719-290-5787
Mailing Address - Fax:
Practice Address - Street 1:406 PLUMERIA DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-1677
Practice Address - Country:US
Practice Address - Phone:719-290-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CO915106H00000X
TX202623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist