Provider Demographics
NPI:1710513890
Name:BAKER, ELIZABETH KATHARINE COLLIER (PSYD, HSP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHARINE COLLIER
Last Name:BAKER
Suffix:
Gender:F
Credentials:PSYD, HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 VOLUNTEER BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37996-4522
Mailing Address - Country:US
Mailing Address - Phone:865-974-2196
Mailing Address - Fax:
Practice Address - Street 1:1800 VOLUNTEER BLVD FL 2
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37996-4522
Practice Address - Country:US
Practice Address - Phone:865-974-2196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3588103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical