Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003610 | GA |
NPI | 1053563932 |
---|---|
Provider Name | Dr. Natalie S. Baker |
First Address | Atlanta, GA 30339-5621 |
Second Address | Atlanta, GA 30339-5621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 10/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
58956180 | (05) | MD |