Individual
DR. ASHLEY B. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
101 COLONY PARK DR, STE 300, CUMMING, GA 30041
(678) 679-7118
(678) 679-7112
Mailing address
P.O. BOX 4551, PAULION PSYCHOLOGICAL SERVICES, SUWANEE, GA 30024
(678) 679-7118
(678) 679-7112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS-P000218
GA
103TC0700X
Clinical Psychologist
Primary
PSY003511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03116200A
—
GA
Enumeration date
10/26/2011
Last updated
05/28/2015
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