Doctor Name: | MS. MARILYN RUTH BAKER |
NPI Number: | 1750510004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 0537 |
Business Practice Address: | 425 Garrad Street Covington, KY - 41011 |
Business Phone Number: | 8596207406 |
Business Fax Number: | 8592910139 |
Mailing Address: | 2120 Glenway Ave, COVINGTON |
State: | KY |
Postal Code: | 410141541 |
Phone Number: | 8596207406 |
Fax Number: | 8592910139 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0537 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |