Doctor Name: | DR. SHEILA M. BAER |
NPI Number: | 1154372787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 3001 Green Bay Rd Ncvamc, Bldg 131, Psychology North Chicago, IL - 600643048 |
Business Phone Number: | 2246105799 |
Business Fax Number: | |
Mailing Address: | 3001 Green Bay Road, North Chicago Vamc, Bldg 131, Rm 146 NORTH CHICAGO |
State: | IL |
Postal Code: | 60064 |
Phone Number: | 2246105799 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |