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Individual

DR. ANN FAIRFAX BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
121 S ESTES DR, SUITE 204C, CHAPEL HILL, NC 27514-2868
(919) 929-7311
Mailing address
121 S ESTES DR, SUITE 204C, CHAPEL HILL, NC 27514-2868
(919) 929-7311

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1299
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03174
BC/BS PROVIDER NUMBER
NC
Enumeration date
06/08/2006
Last updated
07/09/2007
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