Jeslyn Baker
Individual provider Active NPI Speech-Language Pathologist · Wayne, PA
NPI 1629713664 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1629713664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14309239 (PA)
- Practice address
- 271 Hillcrest Rd
Wayne, PA 19087-2423 - Phone
- (267) 573-3034
- NPI assigned
- May 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14309239 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14309239 | PA | Yes |
Addresses
Primary practice location
271 Hillcrest Rd
Wayne, PA 19087-2423
Mailing address
524 S 13TH St Apt a
Philadelphia, PA 19147-1134
Phone (717) 802-1605
Other providers in Wayne, PA
- Michelle Nancy Atkins
- Paul Axelsen
- Rachel Eryn Bagelman
- Brian Baist
- Daniel George Baker
- Kelly Ann Bakes
- Bala Cardiovascular Consultants, P.C.
- Timothy Baldwin
- Karen Banner
- Heather Baron
All providers in Wayne, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. 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.