Individual
DR. RYAN BURDELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
3103 BLACKISTON MILL RD, NEW ALBANY, IN 47150-9536
(812) 590-7160
(812) 590-7160
Mailing address
3103 BLACKISTON MILL RD, NEW ALBANY, IN 47150-9536
(812) 590-7160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
130398
KY
103T00000X
Psychologist
Primary
20042925A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014952
—
IN
05
—
7100284870
—
KY
Enumeration date
07/19/2007
Last updated
08/16/2024
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