| Doctor Name: | ABIGAIL BAKER |
| NPI Number: | 1053715383 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. A. |
| License Number: | 6301015716 |
| Business Practice Address: | 738 S Main St Adrian, MI - 492213787 |
| Business Phone Number: | 5172638113 |
| Business Fax Number: | |
| Mailing Address: | 738 S Main St Ste 101, ADRIAN |
| State: | MI |
| Postal Code: | 492213787 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301015716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |