Provider Demographics
NPI:1679327886
Name:BAKER SPEECH THERAPY LLC
Entity type:Organization
Organization Name:BAKER SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-960-1872
Mailing Address - Street 1:24351 ZINFANDEL LN UNIT 302
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1889
Mailing Address - Country:US
Mailing Address - Phone:914-960-1872
Mailing Address - Fax:
Practice Address - Street 1:24351 ZINFANDEL LN UNIT 302
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1889
Practice Address - Country:US
Practice Address - Phone:914-960-1872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency