Stephanie Leanne Baker

Individual provider Active NPI Developmental Therapist · Somerset, KY

NPI 1386069797 · NPPES record last updated Feb 20, 2014

Key facts

NPI
1386069797
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
307 Aztec TRL
Somerset, KY 42501-3206
Phone
(606) 875-6992
NPI assigned
Feb 20, 2014
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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lives Development, LLC Current
since Jan 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

307 Aztec TRL
Somerset, KY 42501-3206

Mailing address

307 Aztec TRL
Somerset, KY 42501-3206
Phone (606) 875-6992

Other providers in Somerset, KY

All providers in Somerset, KY · Developmental Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.