Doctor Name: | MRS. KIM M BAKER |
NPI Number: | 1750537270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 1789-154 |
Business Practice Address: | N84w17049 Menomonee Ave Menomonee Falls, WI - 530512701 |
Business Phone Number: | 2622551180 |
Business Fax Number: | |
Mailing Address: | W217n5399 Taylors Woods Dr, MENOMONEE FALLS |
State: | WI |
Postal Code: | 530516262 |
Phone Number: | 2622933154 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1789-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |