| Doctor Name: | ANGELA BAKER |
| NPI Number: | 1154537397 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT |
| License Number: | PC002593 |
| Business Practice Address: | 1494 Gravel Pike Green Lane, PA - 180542015 |
| Business Phone Number: | 2154358463 |
| Business Fax Number: | |
| Mailing Address: | 1494 Gravel Pike, GREEN LANE |
| State: | PA |
| Postal Code: | 180542015 |
| Phone Number: | 2154358463 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 09/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |