Individual
DAVID WAYNE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3407 BERRYWOOD DR, 200, COLUMBIA, MO 65201-6500
(573) 443-1177
Mailing address
3407 BERRYWOOD DR, 200, COLUMBIA, MO 65201-6500
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2007033943
MO
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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