Healthcare Provider Details

I. General information

NPI: 1679170831
Provider Name (Legal Business Name): DR. HARRIET BAAYEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 11/22/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12114 LITTLE PATUXENT PKWY APT F
COLUMBIA MD
21044-2755
US

IV. Provider business mailing address

12114 LITTLE PATUXENT PKWY APT F
COLUMBIA MD
21044-2755
US

V. Phone/Fax

Practice location:
  • Phone: 215-429-2453
  • Fax:
Mailing address:
  • Phone: 215-429-2453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03142
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberU03142
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number20-1909
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: