Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1833 | WA |
NPI | 1013906502 |
---|---|
Provider Name | Dr. Sharon Ann Baker |
First Address | Seattle, WA 98104-2216 |
Second Address | Seattle, WA 98104-2216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 08/07/2007 |