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NPI Code Detail

MEDICARE: JOEL BAKER MA

MEDICARE: JOEL BAKER MA
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
1106H00000XMarriage & Family TherapistMFT001327GA

General Provider Information

NPI Number : 1417361130
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL BAKER MA
Provider Business Mailing Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 678-948-8057
Fax Number :
Provider Business Practice Location Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 678-948-8057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2014
Last Update Date : 04/22/2022

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Directions to “ JOEL BAKER MA” Practice Location

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