Individual
DR. THOMAS DALE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1639 CAPE CORAL PKWY E, 207, CAPE CORAL, FL 33904-9651
(239) 297-5725
Mailing address
PO BOX 101092, CAPE CORAL, FL 33910-1092
(239) 297-5725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005090
FL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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