Individual provider · Type 1 NPI
Mary J. Baker-Ericzen, PhD
Intellectual & Developmental Disabilities Psychologist · San Diego, CA
NPI number
1144330382
Active
Practice location
3990 Old Town Ave Ste A207
San Diego, CA 92110-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY17553 (CA) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | PSY17553 (CA) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
Another provider at this address
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About NPI 1144330382
Mary J. Baker-Ericzen, PhD's National Provider Identifier is 1144330382, issued on Aug 30, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.