Lisa Christine Baker, M.S CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Port Angeles, WA
NPI 1710183371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710183371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL00001277 (WA)
- Practice address
- 825 E 5TH St
Port Angeles, WA 98362-3818 - Phone
- (360) 452-6213
- Fax
- (360) 457-4916
- NPI assigned
- Jun 21, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00001277 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00001277 | WA | Yes |
Addresses
Primary practice location
825 E 5TH St
Port Angeles, WA 98362-3818
Mailing address
926 Blyn Springs Rd
Sequim, WA 98382-7604
Phone (360) 681-3230
Other providers in Port Angeles, WA
- Susan Bach
- Tina Marie Baker-Blood
- Amalia Celeste Baker
- Ashley Karine Baker
- Kellie Anna Baker
- Makaela Jade Baker
- Samuel R Baker
- Larry Thomas Balentine
- Angie Marie Ball
- Lauren Kate Ballou
All providers in Port Angeles, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.