Individual
LUCAS DAVID BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2150 S MCCLELLAND ST APT 239, SALT LAKE CITY, UT 84106-6206
(307) 262-2808
Mailing address
2150 S MCCLELLAND ST APT 239, SALT LAKE CITY, UT 84106-6206
(307) 262-2808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13901326-2501
UT
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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