Provider Demographics
NPI:1558806661
Name:BAKER, ANDREW ZEE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:ZEE
Last Name:BAKER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 SW 5TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6329
Mailing Address - Country:US
Mailing Address - Phone:772-332-4622
Mailing Address - Fax:561-272-7250
Practice Address - Street 1:430 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5664
Practice Address - Country:US
Practice Address - Phone:772-332-4622
Practice Address - Fax:561-272-7250
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health