NPI 1760907091 · live from the CMS NPI Registry
Micah Baker, LPE
Psychologist, School in Rogers, AR. National Provider Identifier 1760907091, active.
NPI record
| NPI | 1760907091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 1601 S Rainbow Rd, Rogers, AR 72758 |
| Practice phone | 479-254-1144 |
| Enumerated | August 8, 2017 |
| Last updated | November 29, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 13-30EI (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.