Doctor Name: | MRS. ELIZABETH RACHEL BAKKER |
NPI Number: | 1174761720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | 22004327A |
Business Practice Address: | 12840 Alexander Street Cedar Lake, IN - 46303 |
Business Phone Number: | 2193746454 |
Business Fax Number: | |
Mailing Address: | 12840 Alexander Street, CEDAR LAKE |
State: | IN |
Postal Code: | 46303 |
Phone Number: | 2193746454 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004327A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |