Provider Demographics
NPI:1063387280
Name:BAER, JENNIFER CAREY
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CAREY
Last Name:BAER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 STONEHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9033
Mailing Address - Country:US
Mailing Address - Phone:610-772-0554
Mailing Address - Fax:
Practice Address - Street 1:16 LEADERS HEIGHTS RD OFC 105
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5033
Practice Address - Country:US
Practice Address - Phone:717-747-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA677111101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)