Provider Demographics
NPI:1093194649
Name:BAKER, DANIELLE WALD (PSYD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:WALD
Last Name:BAKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 N DIVISION ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1930
Mailing Address - Country:US
Mailing Address - Phone:509-456-3600
Mailing Address - Fax:
Practice Address - Street 1:1303 N DIVISION ST
Practice Address - Street 2:SUITE A
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1930
Practice Address - Country:US
Practice Address - Phone:509-456-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist