Doctor Name: | MS. HEATHER PEARL BAUM |
NPI Number: | 1770952061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CF-SLP |
License Number: | SZ7316 |
Business Practice Address: | 930 Mar Walt Drive Suite D Fort Walton Beach, FL - 32547 |
Business Phone Number: | 8502268326 |
Business Fax Number: | |
Mailing Address: | 821 Overbrook Dr, FORT WALTON BEACH |
State: | FL |
Postal Code: | 325473308 |
Phone Number: | 8508039285 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ7316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |