Lydia Baldwin, SLP
Individual provider Active NPI Speech-Language Pathologist · Keller, TX
NPI 1770032484 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1770032484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 108724 (TX)
- Practice address
- 1406 Mary CT
Keller, TX 76262-9339 - Phone
- (254) 625-2277
- NPI assigned
- Sep 23, 2016
- 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 |
|---|---|---|---|
| 108724 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Moon Speech Therapy, PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 108724 | TX | Yes |
Addresses
Primary practice location
1406 Mary CT
Keller, TX 76262-9339
Mailing address
1406 Mary CT
Keller, TX 76262-9339
Phone (254) 625-2277
Other providers in Keller, TX
- Leyla R Baez
- Elizabeth Leigh Bah
- Gerald B Bailey Jr.
- Rachel Diane Bailey
- Donna Lynne Rial Baker
- Michelle Lee Ballou
- Katharine Anne Barber
- Brandon Lee Barker
- Labrisha Barnes
- Linda Kay Barnes
All providers in Keller, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 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.