NPI | 1174799225 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P BAKER Psychologist/Owner 712-252-1473 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 453) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00199) |
104100000X Social Worker (Licence: IA 01389) | |
1041C0700X Social Worker, Clinical (Licence: IA 04698) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |