Organization
FOREST INSTITUTE OF PROFESSIONAL PSYCHOLOGY
Active
Other names
Forest Institute Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BAKER LMFT, PSYD (CLINIC DIRECTOR)
(417) 893-7994
Entity
Organization
Contact information
Practice address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 893-7990
(417) 831-6839
Mailing address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 893-7990
(417) 831-6839
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004033841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507536803
—
MO
Enumeration date
05/24/2006
Last updated
09/29/2014
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