Mr. JACK W BAKER III M.S.
Individual Provider (NPI-1)
Active
Psychologist
Provider Information
- NPI Number
1992850275- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.S.
- Status
- Active
Contact & Location
- Address
- 1730 HIDDEN HOLLOW LN NW, CEDAR RAPIDS, IA, 524051545
- Phone
- (319) 393-5544
- Fax
- (319) 743-0014
Specialties & Taxonomies
Psychologist
Primary License: IA #00259