| Doctor Name: | CHANDA REISHA BAKER |
| NPI Number: | 1598018517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CFY-SLP |
| License Number: | C-5133 |
| Business Practice Address: | 1701 South 11th St. Tucumcari, NM - 88401 |
| Business Phone Number: | 5754614344 |
| Business Fax Number: | 5754618033 |
| Mailing Address: | 1709 South 9th St., TUCUMCARI |
| State: | NM |
| Postal Code: | 88401 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2012 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | C-5133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| 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 |