Mary Suzanne Baker
Psychologist, Clinical in Tyler, TX. Individual provider (NPI-1).
NPI number1275269037
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1275269037
- Entity type
- Individual (NPI-1)
- Name
- Mary Suzanne Baker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 39098 | TX | Yes |
Practice location
1100 E Lake StTyler, TX 75701-3343
Phone 817-734-4920
Mailing address
11937 Us Highway 271Tyler, TX 75708-3154
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