Individual
JESSICA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLP
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
(313) 656-4053
Mailing address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
(313) 656-4053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016857
MI
Other
Enumeration date
05/23/2015
Last updated
04/07/2024
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