Baker, Jennifer L.

Baker, Jennifer L. is an individual health care provider with primary practice located at 205 W Walnut St Ste 10 , Springfield MO 65806-2096. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Jennifer L. can be contacted via phone (417) 425-6091.

Contact Information

Primary practice address
205 W Walnut St Ste 10 Springfield MO 65806-2096
Phone: (417) 425-6091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2004024716 Missouri

Profile Details

NPI number 1487673182
LBN Legal business name Baker, Jennifer L.
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 12th, 2024 - about 5 months 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 1487673182 NPPES
Missouri MEDICAID 497276907

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