Individual
MICHAEL P BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1106 4TH ST, STE 205, SIOUX CITY, IA 51101-1958
(712) 252-1473
Mailing address
1106 4TH ST, STE 205, SIOUX CITY, IA 51101-1958
(712) 252-1473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037143
—
IA
Enumeration date
01/12/2006
Last updated
05/18/2021
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