Baker-Ericzen, Mary J

Baker-Ericzen, Mary J is an sole proprietor health care provider with primary practice located at 3990 Old Town Ave Ste A207 , San Diego CA 92110-2967. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Baker-Ericzen, Mary J can be contacted via phone (858) 699-7978.

Contact Information

Primary practice address
3990 Old Town Ave Ste A207 San Diego CA 92110-2967
Phone: (858) 699-7978
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17553 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY17553 California

Profile Details

NPI number 1144330382
LBN Legal business name Baker-Ericzen, Mary J
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 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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