Andrew J Bauer, LMFT

Individual provider Active NPI Marriage & Family Therapist · Gladwyne, PA

NPI 1013757384 · NPPES record last updated May 25, 2024

Key facts

NPI
1013757384
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF001621 (PA)
Practice address
155 Millcreek Ter
Gladwyne, PA 19035-1544
Phone
(267) 908-0039
NPI assigned
May 25, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MF001621PAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF001621 PA Yes

Addresses

Primary practice location

155 Millcreek Ter
Gladwyne, PA 19035-1544

Mailing address

155 Millcreek Ter
Gladwyne, PA 19035-1544
Phone (267) 908-0039

Other providers in Gladwyne, PA

All providers in Gladwyne, PA · Marriage & Family Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.