Doctor Name: | DR. HARRY PHILLIP BAKER |
NPI Number: | 1245370857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 6301013301 |
Business Practice Address: | 6195 Miller Rd Ste A Swartz Creek, MI - 48473 |
Business Phone Number: | 8106301152 |
Business Fax Number: | 8106309107 |
Mailing Address: | 6195 Miller Rd, Ste A SWARTZ CREEK |
State: | MI |
Postal Code: | 48473 |
Phone Number: | 8106301152 |
Fax Number: | 8106309107 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301013301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |