Provider Demographics
NPI:1669128690
Name:BAKER-NAUMAN, LYNN (MFT, RDT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:BAKER-NAUMAN
Suffix:
Gender:F
Credentials:MFT, RDT
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 22121
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-0121
Mailing Address - Country:US
Mailing Address - Phone:916-905-6895
Mailing Address - Fax:
Practice Address - Street 1:4671 LARSON WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-2038
Practice Address - Country:US
Practice Address - Phone:916-905-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA735
CA131250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist