Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary J Baker-Ericzen, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1144330382

Dr. Mary J Baker-Ericzen, PHD is a Clinical Child & Adolescent Psychologist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3990 Old Town Ave Ste A207
San Diego, CA 92110-2967
Phone: (858) 699-7978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence PSY17553 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY17553 (CA)

Record details

NPI number1144330382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESSeptember 11, 2025

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