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NPI Code Detail

MEDICARE: DR. DEBORAH BAKER PH.D.

MEDICARE:  DR. DEBORAH  BAKER  PH.D.
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
1103T00000XPsychologistPSY17375CA
2103TF0000XFamily PsychologistPSY17375CA
3103TC0700XClinical PsychologistPSY17375CA

General Provider Information

NPI Number : 1265590202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH BAKER PH.D.
Provider Business Mailing Address
First Line : 1849 SAWTELLE BLVD STE 610
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7013
Country : US
Telephone Number : 310-279-2354
Fax Number :
Provider Business Practice Location Address
First Line : 1849 SAWTELLE BLVD STE 610
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7013
Country : US
Telephone Number : 310-270-2354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 06/22/2025

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Directions to “ DR. DEBORAH BAKER PH.D.” Practice Location

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