Jacquelyn Leigh Baker, M.S.

Individual provider Active NPI Speech-Language Pathologist · Roslyn, NY

NPI 1831470889 · NPPES record last updated Sep 5, 2011

Key facts

NPI
1831470889
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1441 Old Northern Blvd
Roslyn, NY 11576-2146
Phone
(516) 625-6846
NPI assigned
Sep 5, 2011
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 Yes

Addresses

Primary practice location

1441 Old Northern Blvd
Roslyn, NY 11576-2146

Mailing address

60 Norman Ave
Apartment 3
Brooklyn, NY 11222-2936
Phone (347) 432-2197

Other providers in Roslyn, NY

All providers in Roslyn, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.