Baker, Jeffrey M

Baker, Jeffrey M is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Baker, Jeffrey M can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (409) 772-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23020 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X OP23020 Texas

Profile Details

NPI number 1376622951
LBN Legal business name Baker, Jeffrey M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376622951 NPPES
Texas MEDICAID 102701302

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