Provider Demographics
NPI:1346025145
Name:BAKER, EMMA BROWN
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:BROWN
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 1:2035 NW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3102
Mailing Address - Country:US
Mailing Address - Phone:412-980-0898
Mailing Address - Fax:
Practice Address - Street 1:1107 NE 45TH ST STE 315
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4656
Practice Address - Country:US
Practice Address - Phone:206-785-1953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health