Individual
DR. NICOLE RENE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
121 S MAIN ST, LUMBERTON, TX 77657-7368
(409) 454-0366
Mailing address
7102 MUSTANG TRL, KOUNTZE, TX 77625-8374
(409) 454-0366
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
72647
TX
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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