| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA BAKER | 1548649502 | 2024-04-07 |
Jessica Baker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548649502. Registration indicates Jessica Baker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Jessica Baker MLP |
| Practice Office Address | 315 N CENTER ST NORTHVILLE, MI US |
| Practice Office Telephone | 3136564052 |
| Practice Office Fax | 3136564053 |
| Mailing Address | 315 N CENTER ST NORTHVILLE, MI 481671277 US |
| Business Telephone | 3136564052 |
| Business Fax | 3136564053 |
| Code | Practice | License No State |
|---|---|---|
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 6301016857
MI |