Individual
MICHAEL PHILIP BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
696 MISSION VALLEY RD, CORRALES, NM 87048-2848
(505) 843-7279
Mailing address
PO BOX 2848, CORRALES, NM 87048-2848
(505) 843-7279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5970
—
NM
Enumeration date
11/30/2006
Last updated
07/08/2007
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