Organization
MARK BAKER, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BAKER PH. D. (PRESIDENT)
(626) 351-9616
Entity
Organization
Contact information
Practice address
650 SIERRA MADRE VILLA AVE, SUITE 110, PASADENA, CA 91107-2013
(626) 351-9616
(626) 351-9493
Mailing address
650 SIERRA MADRE VILLA AVE, SUITE 110, PASADENA, CA 91107-2013
(626) 351-9616
(626) 351-9493
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 9219
CA
Other
Enumeration date
01/14/2008
Last updated
02/12/2008
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