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NPI Code Detail

MEDICARE: MR. BAKER DAVID SYMES LPC

MEDICARE: MR. BAKER DAVID SYMES LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor000786MO

General Provider Information

NPI Number : 1245407782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BAKER DAVID SYMES LPC
Provider Business Mailing Address
First Line : 465 CATALINA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3121
Country : US
Telephone Number : 314-962-7432
Fax Number :
Provider Business Practice Location Address
First Line : 9137 OLD BONHOMME RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-4417
Country : US
Telephone Number : 314-997-7002
Fax Number : 314-997-6848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/14/2008

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