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Kelly Bauman, PSYD
Clinical Psychologist in Crystal Lake, Illinois
NPI 1174802730

Kelly Bauman is a Clinical Psychologist based in Woodstock, IL and is specialized in Clinical. Kelly Bauman practices in Crystal Lake, IL and has the professional credentials of PSYD. The NPI Number for Kelly Bauman is 1174802730 and holds a License No. 166.000207 (Illinois).

The current practice location address for Kelly Bauman is 457 Coventry Ln Ste 115, Crystal Lake, IL and can be reached out via phone at 815-245-4825 and via fax at 815-596-1008.

Location: 457 Coventry Ln Ste 115, Crystal Lake, IL, 60098-4635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174802730
Provider Name
Kelly Bauman
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
457 Coventry Ln Ste 115, Crystal Lake, IL, 60098-4635
Phone Number
815-245-4825
Fax Number
815-596-1008
Provider Enumeration Date
08/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071008887 01 IL STATE LICENSE
166.000207 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
457 Coventry Ln Ste 115
City
Crystal Lake
State
Illinois
Zip
60014-7571
Phone Number
815-245-4825
Fax Number
815-596-1008
person
Provider Business Mailing Address Details
Address
457 Coventry Ln Ste 115
City
Crystal Lake
State
Illinois
Zip
60014-7571
Phone Number
815-245-4825
Fax Number
815-596-1008
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071008887 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
166.000207 (Illinois)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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