Individual
DR. TERESA C BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
5920 COLISEUM BLD, ALEXANDRIA, LA 71303
(318) 443-9339
Mailing address
1011 RETREAT ST W, PINEVILLE, LA 71360-4094
(318) 443-9339
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
3472
LA
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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