Doctor Name: | REGINA BALDWIN |
NPI Number: | 1235586694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 01997 |
Business Practice Address: | 1001 S Kirkwood Rd Suite 150 Kirkwood, MO - 631227254 |
Business Phone Number: | 3148217554 |
Business Fax Number: | 3148210048 |
Mailing Address: | 10109 Grant Meadow Ln, SAINT LOUIS |
State: | MO |
Postal Code: | 631236282 |
Phone Number: | 3145447880 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |