Individual
DR. BRANDON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
085048
IA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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