Doctor Name: | MRS. MARCIA MAY BAKER |
NPI Number: | 1790892362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | LCPC #591 LMFT #592 |
Business Practice Address: | 150 Berkshire Rd. Rangeley, ME - 049700223 |
Business Phone Number: | 2078643351 |
Business Fax Number: | 2078643351 |
Mailing Address: | Po Box 223, 150 Berkshire Rd. RANGELEY |
State: | ME |
Postal Code: | 049700223 |
Phone Number: | 2078643351 |
Fax Number: | 2078643351 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCPC #591 LMFT #592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |