MEDICARE: LAURAE BEGLEY BAKER PH.D., LCMHC

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	101Y00000X	Counselor	068-0068553	VT
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1245488022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURAE BEGLEY BAKER PH.D., LCMHC

Provider Business Mailing Address
First Line	:	2343 RICHVILLE ROAD
Second Line	:
City	:	MANCHESTER CTR
State	:	VT
Zip	:	05255
Country	:	US
Telephone Number	:	802-379-5324
Fax Number	:

Provider Business Practice Location Address
First Line	:	2343 RICHVILLE RD
Second Line	:
City	:	MANCHESTER CENTER
State	:	VT
Zip	:	05255-9535
Country	:	US
Telephone Number	:	802-379-5324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	01/24/2026

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