Provider Demographics
NPI:1053908038
Name:BAUMANN, RACHEL ZOE (LPC,MA,SYC,NCSP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ZOE
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:LPC,MA,SYC,NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 FRONT ST APT A
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-5786
Mailing Address - Country:US
Mailing Address - Phone:203-533-1252
Mailing Address - Fax:
Practice Address - Street 1:597 WESTPORT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4440
Practice Address - Country:US
Practice Address - Phone:203-533-1252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-24
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC082020000582103TS0200X
CT46.005359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool