Monty Timothy Baker PH.D.

NPI 1053308528 - Psychologist - 103TC0700X

NPI Details
NPI 1053308528
Gender Male
Enumeration Date 09/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2200 BERGQUIST DR
STE. 1, LIFE SKILLS SUPPORT CENTER, 59 MDOS MMCM
LACKLAND A F B TX, 78236-9907, US
Phone (210) 292-7361
Fax (210) 292-2520
Business Location
2200 BERGQUIST DR
STE. 1, LIFE SKILLS SUPPORT CENTER, 59 MDOS MMCM
LACKLAND A F B TX, 78236-9907, US
Phone (210) 292-7361
Fax (210) 292-2520
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number PY 7200
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According to our database, Dr. Monty Timothy Baker PH.D. NPI is 1053308528, taxonomy code is 103TC0700X and license number is PY 7200, license state is located at Florida. Monty Timothy Baker PH.D. physically located at 2200 Bergquist Dr, Lackland A F B TX, 78236-9907. NPI Number Monty Timothy Baker PH.D. has the Individual type.

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1053308528 NPI number is provided on an as is basis without warranty of any kind. 1053308528 is maintained by the National Plan & Provider Enumeration System. The contents of Monty Timothy Baker PH.D. are for informational purposes only.