Courtney A Bakan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.10788 Issued in OH

Practice address

2550 Cleveland Ave NW
Canton, OH 44709-3306

Phone

(330) 456-0004

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Courtney A Smaranda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1124381678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 BLACKBURN RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183205",
            "telephone_number": "330-224-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093306",
            "telephone_number": "330-456-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAN",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND. 2012244-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SMARANDA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Bailey
• Titiana Bailey
• Gale Elaine Bailis, LPC
• Elizabeth Bainter, P.T.
• Felicia Marie Baird, SLP
• Cassidy Jordan Baker, OTR/L
• Courtney Baker
• Cynthia Lynn Baker, OTR/L
• Heather Baker, AGACNP
• Heather Baker, DC

• Speech-Language Pathologist in Canton, OH
• Providers in Canton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.