Provider Demographics
NPI:1023166618
Name:BAKER, DAWN SHAREE (MA)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:SHAREE
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 1:1 OAK PLZ STE 206
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3000
Mailing Address - Country:US
Mailing Address - Phone:828-252-2501
Mailing Address - Fax:828-252-2701
Practice Address - Street 1:1 OAK PLZ STE 206
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3000
Practice Address - Country:US
Practice Address - Phone:828-252-2501
Practice Address - Fax:828-252-2701
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1351103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool