Individual
DR. ROBERT THOMAS BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006239
IL
103TC0700X
Clinical Psychologist
20041586A
IN
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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