Provider Demographics
NPI:1982382321
Name:BAKER, TAMZIN MARY (MA)
Entity Type:Individual
Prefix:
First Name:TAMZIN
Middle Name:MARY
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 1:34 MONROE PL APT 5B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2607
Mailing Address - Country:US
Mailing Address - Phone:646-875-3040
Mailing Address - Fax:
Practice Address - Street 1:34 MONROE PL APT 5B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2607
Practice Address - Country:US
Practice Address - Phone:646-875-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist