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Organization

MICHAEL P BAKER DBA ASSOCIATES FOR PSYCHOLOIGCAL & THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL P BAKER PHD (PSYCHOLOGIST/OWNER)
(712) 252-1473
Entity
Organization

Contact information

Practice address
1551 INDIAN HILLS DR, SUITE 221, SIOUX CITY, IA 51104-1859
(712) 252-1473
(712) 252-5672
Mailing address
1551 INDIAN HILLS DR, SUITE 221, SIOUX CITY, IA 51104-1859
(712) 252-1473
(712) 252-5672

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00199
IA
103T00000X
Psychologist
Primary
453
IA
104100000X
Social Worker
01389
IA
1041C0700X
Clinical Social Worker
04698
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0037143
IA
Enumeration date
05/07/2008
Last updated
05/07/2008
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