Benjamin Bryce Baker
Benjamin Bryce Baker is a Marriage and Family Therapist in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Minnesota.
- Years since qualifying
- 6
- Licensed in
- MN
- In the registry since
- 2023
Practice location Address checks out
1619 Dayton Ave Ste 309Saint Paul, MN 55104-6276
Phone: (515) 480-8396
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 4240 (MN) |
|---|
Record details
| NPI number | 1669178729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2023 |
| Last updated in NPPES | January 31, 2023 |
| Certification date | January 31, 2023 |
| Mailing address | 424 Rehnberg Pl, West Saint Paul, MN 55118-3213 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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