Glinnis Baines – Speech-Language Pathologist

Key facts

NPI: 1043683071
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 6968 (LA)
Practice address: 1326 Church St
Zachary, LA 70791-2743
Phone: (225) 654-8208
Fax: (225) 654-4642
NPI assigned: Nov 13, 2015
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

G'S Speech Corner LLC Hearing and Speech Clinic/Center · Port Allen, LA · NPI 1376126292

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6968	LA	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
G'S Speech Corner LLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	6968	LA	Yes

Addresses

Primary practice location

1326 Church St
Zachary, LA 70791-2743

Mailing address

1326 Church St
Zachary, LA 70791-2743
Phone (225) 654-8208

Other identifiers

Identifier	Type	State	Issuer
6968	Other	LA	LICENSE

Other providers in Zachary, LA

All providers in Zachary, LA · Speech-Language Pathologist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.