Michael Wayne Baker, LMFT

Individual provider Active NPI Marriage & Family Therapist · Wichita, KS

NPI 1508098708 · NPPES record last updated Dec 7, 2009

Key facts

NPI
1508098708
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1107 (KS)
Practice address
8921 W 21St St N Ste 101
Wichita, KS 67205-1994
Phone
(316) 773-7323
Fax
(316) 239-2645
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1107KSMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1107 KS Yes

Addresses

Primary practice location

8921 W 21St St N Ste 101
Wichita, KS 67205-1994

Mailing address

8921 W 21St St N Ste 101
Wichita, KS 67205-1994
Phone (316) 773-7323

Other providers in Wichita, KS

All providers in Wichita, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.