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Individual

ELIZABETH LOUISE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
412 W 800 N, OREM, UT 84057-3728
(801) 225-6246
(801) 225-1525
Mailing address
283 E 930 S, OREM, UT 84058-5001
(801) 225-6246
(801) 225-1525

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7789577-2501
UT

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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