Search › Idaho › 1041C0700X
Priscilla Bake, LMSW
NPI 1770225112 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1450 Aviation Dr
Hailey, ID 83333 - Phone
- (208) 727-8970
- Fax
- (208) 727-8979
- Clinicians at this address
- 38
Additional practice sites
- 109 N Arthur Ave Ste 203, Pocatello, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X
104100000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho