Provider Demographics
NPI:1750024386
Name:SIMPSON-BAKER, DANIELLE ELIZABETH (MA, RMFTI)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:SIMPSON-BAKER
Suffix:
Gender:F
Credentials:MA, RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SAINT JOHNS CIR APT 200
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2314
Mailing Address - Country:US
Mailing Address - Phone:689-688-3018
Mailing Address - Fax:
Practice Address - Street 1:132 SAINT JOHNS CIR APT 200
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2314
Practice Address - Country:US
Practice Address - Phone:689-688-3018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3534106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist