Individual
DR. CARRIE LILLIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
144 ANNARON CT, RALEIGH, NC 27603-3640
(919) 851-5618
(919) 233-4729
Mailing address
1617 LETHBRIDGE CT, RALEIGH, NC 27606-4609
(919) 851-5618
(919) 233-4729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1572
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320M
BCBS
NC
05
—
6000894
—
NC
Enumeration date
04/06/2007
Last updated
09/27/2021
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