| Doctor Name: | MS. BRENDA S BAUSE |
| NPI Number: | 1083632004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2337 |
| Business Practice Address: | 27b South West Suite 100 & 200 Ardmore, OK - 73401 |
| Business Phone Number: | 9187120859 |
| Business Fax Number: | 9183886456 |
| Mailing Address: | Po Box 722, ADA |
| State: | OK |
| Postal Code: | 748210722 |
| Phone Number: | 4052101110 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |