NPI 1003790478

Allen a Baker, PEERSUPPORTSPEC

Practitioner Peer Specialist Shelbyville, IN

Practice location

Address: 217 N Hamilton St APT 10217n, Shelbyville, IN 46176-1470
Phone: (317) 656-1397

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 4438 (IN)

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Registry record

NPI: 1003790478
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2025
Record last updated: 1 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.