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NPI Code Detail

MEDICARE: DR. KRISTI GENOVESE BAKER PH.D.

MEDICARE:  DR. KRISTI GENOVESE 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
1103TC0700XClinical Psychologist34763TX

General Provider Information

NPI Number : 1801199476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTI GENOVESE BAKER PH.D.
Provider Business Mailing Address
First Line : 6300 HARRY HINES BLVD STE 1200
Second Line :
City : DALLAS
State : TX
Zip : 75235-5239
Country : US
Telephone Number : 214-456-5932
Fax Number : 214-456-4273
Provider Business Practice Location Address
First Line : 6300 HARRY HINES BLVD STE 1200
Second Line :
City : DALLAS
State : TX
Zip : 75235-5239
Country : US
Telephone Number : 214-456-5932
Fax Number : 214-456-4273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2010
Last Update Date : 12/21/2010

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Directions to “ DR. KRISTI GENOVESE BAKER PH.D.” Practice Location

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