Individual
DR. MARY J BAKER-ERICZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3990 OLD TOWN AVE STE A207, SAN DIEGO, CA 92110-2967
(858) 699-7978
Mailing address
3990 OLD TOWN AVE STE A207, SAN DIEGO, CA 92110-2967
(858) 699-7978
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PSY17553
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY17553
CA
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
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