Provider Demographics
NPI:1033724505
Name:BAKER, FRANCES SUZANN
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:SUZANN
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4565 COUNTY ROAD 114
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-9156
Mailing Address - Country:US
Mailing Address - Phone:352-461-4245
Mailing Address - Fax:
Practice Address - Street 1:4565 COUNTY ROAD 114
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-9156
Practice Address - Country:US
Practice Address - Phone:352-461-4245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health