Provider Demographics
NPI:1891888335
Name:BAKER, ANNE PATIENCE (MA)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:PATIENCE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 BROADWAY STE 330
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2230
Mailing Address - Country:US
Mailing Address - Phone:518-306-1072
Mailing Address - Fax:518-704-4732
Practice Address - Street 1:480 BROADWAY STE 330
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2230
Practice Address - Country:US
Practice Address - Phone:518-306-1072
Practice Address - Fax:518-704-4732
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004920101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health