Doctor Name: | BARRY WARNER BAKER |
NPI Number: | 1124138185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 000415 |
Business Practice Address: | 175 Cottage Rd Enfield, CT - 060822208 |
Business Phone Number: | 8607492606 |
Business Fax Number: | 8607490037 |
Mailing Address: | 175 Cottage Rd, ENFIELD |
State: | CT |
Postal Code: | 060822208 |
Phone Number: | 8607492606 |
Fax Number: | 8607490037 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000415 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |