Doctor Name: | MISS CAROLYN BAUER |
NPI Number: | 1649669383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP.11816 |
Business Practice Address: | 610 Plaza Dr Fostoria, OH - 448301354 |
Business Phone Number: | 4194368321 |
Business Fax Number: | |
Mailing Address: | 455 W 4th St, Suite 010 FOSTORIA |
State: | OH |
Postal Code: | 448301864 |
Phone Number: | 4194368320 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.11816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |