MEDICARE: FRANCES S BAKER, PHD INC

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	103T00000X	Psychologist	748	OH

General Provider Information

NPI Number	:	1346495876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCES S BAKER, PHD INC

Provider Business Mailing Address
First Line	:	14326 S PARK BLVD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-1328
Country	:	US
Telephone Number	:	216-932-1530
Fax Number	:	216-932-1530

Provider Business Practice Location Address
First Line	:	14326 S PARK BLVD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-1328
Country	:	US
Telephone Number	:	216-932-1530
Fax Number	:	216-932-1530

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCES S BAKER
Credential	:	PHD
Telephone Number	:	216-932-1530

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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