Individual
DANIELA DE VASQUES BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4865 OLD REDWOOD HWY STE 102, SANTA ROSA, CA 95403-1415
(415) 254-3797
Mailing address
4865 OLD REDWOOD HWY STE 102, SANTA ROSA, CA 95403-1415
(415) 254-3797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
26897
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2006
Last updated
02/14/2025
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