Organization
FOREST INSTITUTE OF PROFESSIONAL PSYCHOLOGY
Active
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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