Doctor Name: | MRS. ALLISON LONG BAKER |
NPI Number: | 1962632133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP00917 |
Business Practice Address: | 30 Piedmont Ave Waltham, MA - 024513013 |
Business Phone Number: | 7813670841 |
Business Fax Number: | 7813731899 |
Mailing Address: | 22 Audubon Ln, HOPE |
State: | RI |
Postal Code: | 028311627 |
Phone Number: | 4014993311 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |