Dr Theresa E Baker, PSYD | |
501 Centre St, Fernandina Beach, FL 32034-3936 | |
(904) 321-0121 | |
Not Available |
Full Name | Dr Theresa E Baker |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 501 Centre St, Fernandina Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003926288 | NPI | - | NPPES |
75324 | Other | FL | BXBS - FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6172 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Dr Theresa E Baker, PSYD 501 Centre St, Fernandina Beach, FL 32034-3936 Ph: (904) 321-0121 | Dr Theresa E Baker, PSYD 501 Centre St, Fernandina Beach, FL 32034-3936 Ph: (904) 321-0121 |
Jessica Nease White, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1903 Island Walk Way, Fernandina Beach, FL 32034 Phone: 904-277-0027 | |
Dr. Kimberlyann Marsden, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 991 Ocean Bluff Dr, Fernandina Beach, FL 32034 Phone: 904-844-2344 | |
Benjamin Johnson, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3019 Sea Marsh Rd, Fernandina Beach, FL 32034 Phone: 401-829-1023 Fax: 401-445-0228 | |
Pauline Becton Gregory, ED.S, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1903 Island Walk Way, Fernandina Beach, FL 32034 Phone: 904-277-0027 | |
Laura Hume, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2382 Sadler Rd, Fernandina Beach, FL 32034 Phone: 904-277-0027 | |
Dr. Lu Griz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2890 S 8th St, Fernandina Beach, FL 32034 Phone: 904-277-5600 Fax: 904-277-0022 |