MR. Jack W Baker III, M.S.
NPI #1992850275 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1992850275
- Entity Type
- Individual
- Name
- MR. Jack W Baker III, M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- M.S.
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1730 HIDDEN HOLLOW LN NW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52405-1545
- Phone
- (319) 393-5544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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