Individual
DUSTIN FORREST BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2130 GRAND AVE STE B, DES MOINES, IA 50312-5384
(515) 270-0280
(515) 270-1647
Mailing address
2130 GRAND AVE STE B, DES MOINES, IA 50312-5384
(515) 270-0280
(515) 270-1647
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2018043003
MO
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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