| Doctor Name: | MS. DIANNA BAKER |
| NPI Number: | 1073986337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 829 E Georgia Ave Ste 3 Ruston, LA - 712703901 |
| Business Phone Number: | 3182420750 |
| Business Fax Number: | |
| Mailing Address: | 570 College Ave Apt 106, GRAMBLING |
| State: | LA |
| Postal Code: | 712452445 |
| Phone Number: | 9164204898 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2015 |
| NPI Last Update Date: | 11/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |