Individual
JACK DAVID BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1530 WILSON BLVD STE 360, ARLINGTON, VA 22209-2466
(571) 534-3825
Mailing address
1530 WILSON BLVD STE 360, ARLINGTON, VA 22209-2466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
03/14/2024
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