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Contact Information

MARY J BAKER ERICZEN, PHD
3990 OLD TOWN AVE STE A207
SAN DIEGO, CA92110-2967
 Phone: 858-699-7978
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY J BAKER ERICZEN · (Female)

NPI # 1144330382
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/30/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY17553
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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