Individual
DR. NANCY LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP
Contact information
Practice address
1611 BOREL PL, #211, SAN MATEO, CA 94402-3500
(650) 712-9767
Mailing address
1611 BOREL PL, #211, SAN MATEO, CA 94402-3500
(650) 712-9767
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSY11673
CA
103TF0200X
Forensic Psychologist
Primary
PSY11673
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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