| Angela Bauer | |
|
5512 S Lewis Ave Ste 8b Tulsa OK 74105-7140 | |
| (539) 777-1158 | |
| (918) 749-2774 |
| Full Name | Angela Bauer |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5512 S Lewis Ave Ste 8b, Tulsa, Oklahoma |
| Authorized Official Name and Position | Shayna Emshoff (CREDENTIALING) |
| Authorized Official Contact | 4058319084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Bauer 5427 E 110th Pl Tulsa OK 74137-7252 Ph: (918) 691-3032 | Angela Bauer 5512 S Lewis Ave Ste 8b Tulsa OK 74105-7140 Ph: (539) 777-1158 |
| NPI Number | 1225566375 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225566375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5212 (Oklahoma) | Primary |
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