Individual
DR. LISA M. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
715 HILL ST, SUITE 140, MADISON, WI 53705-3542
(608) 622-0376
(844) 587-9569
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
2805
WI
2084P0800X
Psychiatry Physician
Primary
2805-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821044033
—
WI
Enumeration date
05/26/2006
Last updated
12/16/2020
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