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Organization

LISA BAKER, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA M BAKER PHD (PSYCHOLOGIST/FOUNDER)
(608) 622-0376
Entity
Organization

Contact information

Practice address
715 HILL ST, SUITE 140, MADISON, WI 53705-3542
(608) 622-0376
Mailing address
715 HILL ST, SUITE 140, MADISON, WI 53705-3542
(608) 622-0376

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2805
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821044033
NPI
WI
Enumeration date
10/06/2015
Last updated
10/06/2015
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