Jack David Baker, PHD

NPI #1073155453 in Arlington, Virginia

Provider Information

NPI Number: 1073155453
Entity Type: Individual
Name: Jack David Baker, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 17, 2019
Last Updated: Mar 14, 2024

Practice Location

Address: 1530 WILSON BLVD STE 360
City: Arlington
State: Virginia
ZIP Code: 22209-2466
Phone: (571) 534-3825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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