| Mark Baker, PhD | |
|
650 Sierra Madre Villa Ave Suite 110 Pasadena CA 91107-2013 | |
| (626) 351-9616 | |
| (626) 351-9493 |
| Full Name | Mark Baker, PhD |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 650 Sierra Madre Villa Ave, Pasadena, California |
| Authorized Official Name and Position | Mark Baker (PRESIDENT) |
| Authorized Official Contact | 6263519616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Baker, PhD 650 Sierra Madre Villa Ave Suite 110 Pasadena CA 91107-2013 Ph: (626) 351-9616 | Mark Baker, PhD 650 Sierra Madre Villa Ave Suite 110 Pasadena CA 91107-2013 Ph: (626) 351-9616 |
| NPI Number | 1134305733 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134305733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY 9219 (California) | Primary |
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