Baker Psychology, Plc | |
1106 4th St Ste 205 Sioux City IA 51101-1958 | |
(712) 252-1473 | |
(712) 252-5672 |
Full Name | Baker Psychology, Plc |
---|---|
Speciality | Psychologist |
Location | 1106 4th St Ste 205, Sioux City, Iowa |
Authorized Official Name and Position | Aaron Michael Baker (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7122521473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baker Psychology, Plc 1106 4th St Ste 205 Sioux City IA 51101-1958 Ph: (712) 252-1473 | Baker Psychology, Plc 1106 4th St Ste 205 Sioux City IA 51101-1958 Ph: (712) 252-1473 |
NPI Number | 1003521782 |
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Provider Enumeration Date | 01/17/2023 |
Last Update Date | 01/17/2023 |
Certification Date | 01/17/2023 |
Medicare PECOS PAC ID | 2961874375 |
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Medicare Enrollment ID | O20230213001735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003521782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Aaron Michael Baker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104214154 PECOS PAC ID: 1951610757 Enrollment ID: I20230213001763 |
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