Doctor Name: | DR. MATTHEW JAMES BAKER |
NPI Number: | 1609181510 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 926 |
Business Practice Address: | 4881 Sugar Maple Dr Wpafb, OH - 454335529 |
Business Phone Number: | 9372576877 |
Business Fax Number: | 9376561192 |
Mailing Address: | 4881 Sugar Maple Dr, WPAFB |
State: | OH |
Postal Code: | 454335529 |
Phone Number: | 9372576877 |
Fax Number: | 9376561192 |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |