Elizabeth Baer
Individual provider Active NPI Speech-Language Pathologist · Centreville, MD
NPI 1972073989 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1972073989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1533 (MD)
- Practice address
- 202 Chesterfield Ave
Centreville, MD 21617-1308 - Phone
- (410) 758-2403
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1533 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen Anne'S County Board of Education | Past | Accepting new patients | |
| Queen Anne'S County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1533 | MD | Yes |
Addresses
Primary practice location
202 Chesterfield Ave
Centreville, MD 21617-1308
Mailing address
103 Tilghman Ave
Centreville, MD 21617-1123
Phone (410) 739-6350
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All providers in Centreville, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. 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.