RICHARD THOMAS BAKER

IDAHO FALLS, ID
NPI1912332719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY-202235)
Enumeration Date2013-09-11
Last Update Date2013-09-11
Business Address
Dr. RICHARD THOMAS BAKER Ph.D.
111 E 16TH ST
IDAHO FALLS, ID 83404-5919
Phone number: 208-523-1130
Mailing Address
Dr. RICHARD THOMAS BAKER Ph.D.
4820 CLEARVIEW AVE
POCATELLO, ID 83204-5026
Phone number: 208-241-4955