Individual
EDWARD BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1445 STEWARTSTOWN RD STE 200, MORGANTOWN, WV 26505-3868
(304) 598-2300
(304) 598-2307
Mailing address
1445 STEWARTSTOWN RD STE 200, MORGANTOWN, WV 26505-3868
(304) 598-2300
(304) 598-2307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
797
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001716794
BC/BS (MOUNTAIN STATE)
WV
05
—
3810001400
—
WV
Enumeration date
07/19/2006
Last updated
10/18/2021
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