Individual
THOMAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
700 S MAIN ST STE 211, LAPEER, MI 48446-3085
(810) 664-4646
Mailing address
700 S MAIN ST STE 211, LAPEER, MI 48446-3085
(810) 664-4646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016098
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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