Provider Demographics
NPI:1932569241
Name:BAUMAN, CARL II (LPC)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:
Last Name:BAUMAN
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:BOOMER
Other - Middle Name:
Other - Last Name:BAUMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:6299 CAMP RD
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44287-9032
Mailing Address - Country:US
Mailing Address - Phone:419-869-4069
Mailing Address - Fax:540-949-8897
Practice Address - Street 1:6299 CAMP RD
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:OH
Practice Address - Zip Code:44287-9032
Practice Address - Country:US
Practice Address - Phone:419-869-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007683101YP2500X
VA0701006335101YP2500X
OHE.1901236101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty