ELLEN BAXTER MED NPI 1871944405

NPI Information

Ellen Baxter, MED is a mental health counselor in Champaign, IL. Ellen Baxter, MED NPI is 1871944405. 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:

1801 FOX DR
CHAMPAIGN, IL
ZIP 61820-236
Phone: (217) 351-9744
Fax: (217) 351-9746

The enumeration date for this NPI number is 6/24/2016 and was last updated on 6/24/2016.

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:

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