Individual
MR. MICAH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE
Contact information
Practice address
1601 S RAINBOW RD, ROGERS, AR 72758
(479) 254-1144
(479) 254-1144
Mailing address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 254-1144
(479) 254-1099
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
13-30EI
AR
Other
Enumeration date
08/08/2017
Last updated
11/29/2018
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