Kristi L Baggett, SLP
Individual provider Active NPI Speech-Language Pathologist · Dallas, GA
NPI 1790017705 · NPPES record last updated Feb 2, 2010
Key facts
- NPI
- 1790017705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP000001 (GA)
- Practice address
- 3044 Due West Rd
Dallas, GA 30157 - Phone
- (770) 443-9672
- Fax
- (770) 505-3595
- NPI assigned
- Feb 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| SLP000001 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000001 | GA | Yes |
Addresses
Primary practice location
3044 Due West Rd
Dallas, GA 30157
Mailing address
3044 Due West Rd
Dallas, GA 30157
Phone (770) 443-9672
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All providers in Dallas, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2010. 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.