| 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 |