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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY BAUMAN, PSY.D

Active Sole Proprietor

KELLY BAUMAN, PSY.D is a Clinical Psychologist healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1174802730 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · CRYSTAL LAKE, IL

Registration Details

NPI Number
1174802730
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2011 (14.985644555888 yrs)
Last Updated
May 21, 2021
Licenses
166.000207 (IL)
071008887 (IL)
Sole Proprietor
Yes

Practice Information

Address
457 COVENTRY LN STE 115
CRYSTAL LAKE, IL, 600147571
Browse IL providers · Browse ZIP 60014
Phone
8152454825
Fax
8155961008
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in CRYSTAL LAKE, IL

Name Credential NPI
DR. MARGARETE A. RONNETT PSY.D. 1225060353
DR. LINDA BEDSOLE PSY.D. 1588687370
DR. TIMOTHY J HAYES PSY.D. 1134131568
DR. MICHELLE LYNNE MCCLELLAN PSY D 1881704708
DR. KENNETH E HEINRICHS PSYD 1467556589
MICHAEL T BURNS PSYD 1740388487
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.