Provider Demographics
NPI:1447510870
Name:BAKER, KAY (MS)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 MAIN ST S
Mailing Address - Street 2:UNIT 4
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-5450
Mailing Address - Country:US
Mailing Address - Phone:334-436-0303
Mailing Address - Fax:
Practice Address - Street 1:1469 MAIN ST S
Practice Address - Street 2:UNIT 4
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-5450
Practice Address - Country:US
Practice Address - Phone:334-436-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health