Provider Demographics
NPI:1972870723
Name:BAKER, KARIE A (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARIE
Middle Name:A
Last Name:BAKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KARIE
Other - Middle Name:A
Other - Last Name:DELAURENTIIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 WESTFALL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4610
Mailing Address - Country:US
Mailing Address - Phone:585-461-8500
Mailing Address - Fax:585-241-2685
Practice Address - Street 1:620 WESTFALL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4610
Practice Address - Country:US
Practice Address - Phone:585-461-8500
Practice Address - Fax:585-241-2685
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019488-1103TC0700X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical