Hanako Baker, PSYD | |
180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | |
(540) 365-4469 | |
Not Available |
Full Name | Hanako Baker |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 180 Ferrum Mountain Rd, Ferrum, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861102451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0810008033 (Virginia) | Secondary |
103TC0700X | Psychologist - Clinical | 0810008033 (Virginia) | Primary |
Entity Name | Tri Area Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346227584 PECOS PAC ID: 6204748296 Enrollment ID: O20040122000969 |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Hanako Baker, PSYD Po Box 9, Laurel Fork, VA 24352-0009 Ph: (276) 398-2292 | Hanako Baker, PSYD 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 Ph: (540) 365-4469 |
Dr. Jeremiah W Burkhart, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 180 Ferrum Mountain Rd, Ferrum, VA 24088 Phone: 540-365-4469 Fax: 540-365-4272 | |
Joshua M Bradley, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 180 Ferrum Mountain Rd, Ferrum, VA 24088 Phone: 540-365-4469 |