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General NPI Number Information
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NPI Number | 1235247180
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Entity Type | Individual
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Provider Name | STEPHEN K BAKER MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 850 W LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3220
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Country | US
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Telephone | 843-412-2160
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Fax | 610-520-1517
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Provider Business Mailing Address
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Address Line | 850 W LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3220
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Country | US
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Telephone | 843-412-2160
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Fax | 610-520-1517
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 18661
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD447155
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License Number State | PA
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