Baker, Ashley B.

Baker, Ashley B. is an sole proprietor health care provider with primary practice located at 101 Colony Park Dr Ste 300, Cumming GA 30041. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Ashley B. can be contacted via phone (678) 679-7118.

Contact Information

Primary practice address
101 Colony Park Dr Ste 300 Cumming GA 30041
Fax: (678) 679-7112
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-P000218 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003511 Georgia

Profile Details

NPI number 1255617841
LBN Legal business name Baker, Ashley B.
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2011
Last updated May 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255617841 NPPES
Georgia MEDICAID 03116200A

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