Individual
DR. JENNIFER L. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
415 E WALNUT ST, SPRINGFIELD, MO 65806-2303
(417) 425-6091
Mailing address
3594 W GREENWOOD ST, SPRINGFIELD, MO 65807-5538
(417) 425-6091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004024716
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497276907
—
MO
Enumeration date
07/19/2006
Last updated
10/05/2024
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