Individual
DR. JASON JOHN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
301 E BETHANY HOME RD, SUITE A-125, PHOENIX, AZ 85012-1263
(602) 230-8324
(602) 274-7402
Mailing address
301 E BETHANY HOME RD, SUITE A-125, PHOENIX, AZ 85012-1263
(602) 230-8324
(602) 274-7402
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3711
AZ
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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