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DR. MARY J BAKER-ERICZEN PHD NPI 1144330382


NPI Information

NPI: 1144330382
Provider Name: DR. MARY J BAKER-ERICZEN, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
3990 OLD TOWN AVE STE A207
SAN DIEGO, CA
ZIP 92110
Phone: (858) 699-7978
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DR. Mary J Baker-ericzen, PHD is a clinical child and adolescent psychologist in San Diego, CA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Mary J Baker-ericzen, PHD NPI is 1144330382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3990 OLD TOWN AVE STE A207
SAN DIEGO, CA
ZIP 92110-967
Phone: (858) 699-7978

The NPI 1144330382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentPSY17553CALIFORNIAYes
2103TM1800XPsychologistIntellectual and Developmental DisabilitiesPSY17553CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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