MEDICARE: JANET G BAKER PHD, LLC

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1700360138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET G BAKER PHD, LLC

Provider Business Mailing Address
First Line	:	1117 FEHL LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-4349
Country	:	US
Telephone Number	:	513-232-1806
Fax Number	:

Provider Business Practice Location Address
First Line	:	7733 BEECHMONT AVE STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4237
Country	:	US
Telephone Number	:	513-232-1806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANET BAKER
Credential	:	PHD
Telephone Number	:	513-232-1806

Provider Enumeration Date	:	09/21/2018
Last Update Date	:	07/21/2025

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