Susan G Baker, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · El Dorado, AR

NPI 1407041908 · NPPES record last updated Sep 9, 2007

Key facts

NPI
1407041908
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
865 (AR)
Practice address
130 Reed Ave
El Dorado, AR 71730-5352
Phone
(870) 863-3117
Fax
(870) 863-3117
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 865 AR Yes

Addresses

Primary practice location

130 Reed Ave
El Dorado, AR 71730-5352

Mailing address

130 Reed Ave
El Dorado, AR 71730-5352
Phone (870) 863-3117

Other providers in El Dorado, AR

All providers in El Dorado, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.