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Individual

DR. MATTHEW ROBERT BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
12920 SUMMERFIELD CROSSING BLVD, RIVERVIEW, FL 33579-7210
(813) 998-8600
Mailing address
12920 SUMMERFIELD CROSSING BLVD, RIVERVIEW, FL 33579-7210

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10574
FL

Other

Enumeration date
08/19/2015
Last updated
09/10/2019
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