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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN BAER PH. D.

MEDICARE:  DR. MICHAEL ALAN BAER  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
1103TC0700XClinical PsychologistPY7021FL

General Provider Information

NPI Number : 1437209053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN BAER PH. D.
Provider Business Mailing Address
First Line : 1101 TAMIAMI TRL S
Second Line : SUITE # 206
City : VENICE
State : FL
Zip : 34285-4133
Country : US
Telephone Number : 941-485-6300
Fax Number : 941-485-6233
Provider Business Practice Location Address
First Line : 1101 TAMIAMI TRL S
Second Line : SUITE # 206
City : VENICE
State : FL
Zip : 34285-4133
Country : US
Telephone Number : 941-485-6300
Fax Number : 941-485-6233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/09/2007

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Directions to “ DR. MICHAEL ALAN BAER PH. D.” Practice Location

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