Brad Baker, PHD

NPI #1245391549 in Idaho Falls, Idaho

Provider Information

NPI Number: 1245391549
Entity Type: Individual
Name: Brad Baker, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: PHD
Enumeration Date: Dec 12, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2235 E 25TH ST STE 290
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7595
Phone: (208) 552-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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