Individual
DR. CYNTHIA DIANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1101 DOVE ST STE 150, NEWPORT BEACH, CA 92660-2826
(949) 923-8961
Mailing address
6392 WEBER CIR, HUNTINGTON BEACH, CA 92647-4210
(949) 923-8961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18435
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY18435
CA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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