Doctor Name: | PATRICIA D BAKER |
NPI Number: | 1497895924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | E0007587 |
Business Practice Address: | 8188 Clovehitch Ct Maineville, OH - 450399588 |
Business Phone Number: | 5133164906 |
Business Fax Number: | |
Mailing Address: | 8188 Clovehitch Ct., MAINEVILLE |
State: | OH |
Postal Code: | 45039 |
Phone Number: | 5133164906 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E0007587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |