Doctor Name: | DR. THOMAS SANDS BAKER |
NPI Number: | 1003958000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LCADC |
License Number: | 37PC00105400 |
Business Practice Address: | 22 Stockton St Princeton, NJ - 085406813 |
Business Phone Number: | 6099240060 |
Business Fax Number: | |
Mailing Address: | 67 Lexington Dr, PENNINGTON |
State: | NJ |
Postal Code: | 085345169 |
Phone Number: | 6097372521 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00105400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |