David Baker, PSYD

Individual provider Active NPI Clinical Psychologist · Cincinnati, OH

NPI 1801119623 · NPPES record last updated Aug 30, 2011

Key facts

NPI
1801119623
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
6825 (OH)
Practice address
2800 Winslow Ave
Suite 5200
Cincinnati, OH 45206-1144
Phone
(513) 636-0755
Fax
(513) 636-0755
NPI assigned
Mar 8, 2010
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)
Yes

State licenses

LicenseStateTypeSpecialty
6825OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6825 OH Yes

Addresses

Primary practice location

2800 Winslow Ave
Suite 5200
Cincinnati, OH 45206-1144

Mailing address

2800 Winslow Ave
Suite 5200
Cincinnati, OH 45206-1144
Phone (513) 636-0755

Other identifiers

IdentifierTypeStateIssuer
1801119623MedicaidOH

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Clinical Psychologist in Ohio

Sources for this page

Verify at the official NPI Registry.