Healthcare Provider Details

I. General information

NPI: 1588583215
Provider Name (Legal Business Name): JOSEPH JOHN BAKER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 BRUCE RD
WASHINGTON CROSSING PA
18977-1507
US

IV. Provider business mailing address

107 BRUCE RD
WASHINGTON CROSSING PA
18977-1507
US

V. Phone/Fax

Practice location:
  • Phone: 609-902-4072
  • Fax:
Mailing address:
  • Phone: 609-902-4072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020672
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: