Provider Demographics
NPI:1619794690
Name:BAKER, NATALIE DANIELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:DANIELLE
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 MANDEVILLE LN APT 1112
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-6149
Mailing Address - Country:US
Mailing Address - Phone:504-655-7365
Mailing Address - Fax:
Practice Address - Street 1:2020 PENNSYLVANIA AVE NW # 272
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1811
Practice Address - Country:US
Practice Address - Phone:504-655-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704017337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional