Provider Demographics
NPI:1063296895
Name:BAUM, DEBORAH DA SILVA (PMHNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DA SILVA
Last Name:BAUM
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:BAUM
Other - Last Name:MUNTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:810 E RALPH HALL PKWY
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6878
Mailing Address - Country:US
Mailing Address - Phone:469-707-9603
Mailing Address - Fax:469-981-7864
Practice Address - Street 1:810 E RALPH HALL PKWY
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6878
Practice Address - Country:US
Practice Address - Phone:469-707-9603
Practice Address - Fax:469-981-7864
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ296639363LP0808X
TX1189119363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health