Baker, Mary Suzanne

Baker, Mary Suzanne is an individual health care provider with primary practice located at 1100 E Lake St , Tyler TX 75701-3343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Mary Suzanne can be contacted via phone (817) 734-4920.

Contact Information

Primary practice address
1100 E Lake St Tyler TX 75701-3343
Phone: (817) 734-4920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 39098 Texas

Profile Details

NPI number 1275269037
LBN Legal business name Baker, Mary Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 2 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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