Individual
DR. MARTHA ELLEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2317 MARKET PL SW, SUITE E, HUNTSVILLE, AL 35801-5262
(256) 539-9990
(256) 539-9990
Mailing address
2317 MARKET PL SW, SUITE E, HUNTSVILLE, AL 35801-5262
(256) 539-9990
(256) 539-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
783
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-26142
BLUECROSS BLUESHIELD AL
AL
01
—
510-99674
BCBS - FEP
AL
Enumeration date
11/15/2006
Last updated
07/08/2007
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