Provider Demographics
NPI:1548456189
Name:BAKER, COURTNEY N
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:N
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FRERET ST
Mailing Address - Street 2:PSYCHOLOGY DEPT., 2007 PERCIVAL STERN HALL
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5636
Mailing Address - Country:US
Mailing Address - Phone:504-862-8332
Mailing Address - Fax:
Practice Address - Street 1:6400 FRERET ST
Practice Address - Street 2:PSYCHOLOGY DEPT., 2007 PERCIVAL STERN HALL
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5636
Practice Address - Country:US
Practice Address - Phone:504-862-8332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
LA1307103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical