Elizabeth Baker, LPC

Individual provider Active NPI Professional Counselor · Blue Bell, PA

NPI 1972617587 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1972617587
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC003892 (PA)
Practice address
717 Swede Rd
Suite 212
Blue Bell, PA 19422
Phone
(267) 419-7878
NPI assigned
Aug 19, 2006
Sex
Female
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
PC-0011601DEMDProfessional Counselor
PC003892PAMDProfessional Counselor
95083TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 95083 TX
Professional Counselor 101YP2500X PC-0011601 DE
Professional Counselor 101YP2500X 007650 CT
Professional Counselor 101YP2500X PC003892 PA Yes

Addresses

Primary practice location

717 Swede Rd
Suite 212
Blue Bell, PA 19422

Mailing address

2048 Wisteria LN
Lafayette Hill, PA 19444-2122
Phone (516) 527-0567

Other providers in Blue Bell, PA

All providers in Blue Bell, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.