Beth A Baker, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marlboro, NY
NPI 1992080394 · NPPES record last updated Oct 17, 2011
Key facts
- NPI
- 1992080394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 009257-1 (NY)
- Practice address
- 1380 Route 9W
Marlboro, NY 12542-5403 - Phone
- (845) 236-5820
- Fax
- (845) 236-5834
- NPI assigned
- Oct 17, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009257-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009257-1 | NY | Yes |
Addresses
Primary practice location
1380 Route 9W
Marlboro, NY 12542-5403
Mailing address
1380 Route 9W
Marlboro, NY 12542-5403
Phone (845) 236-5820
Other providers in Marlboro, NY
All providers in Marlboro, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2011. 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.