Doctor Name: | MS. PAMELA A. BAKER |
NPI Number: | 1134278096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | PC002628 |
Business Practice Address: | 1645 Rostraver Rd Belle Vernon, PA - 150129655 |
Business Phone Number: | 4128606746 |
Business Fax Number: | 8882656390 |
Mailing Address: | 1137 3rd St, FAYETTE CITY |
State: | PA |
Postal Code: | 154381021 |
Phone Number: | 7247819000 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC002628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |