Organization
PEDIATRIC SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BAKER MA CCC-SLP/L (SLP)
(219) 743-3302
Entity
Organization
Contact information
Practice address
1100 ALLISON ST, CROWN POINT, IN 46307-7874
(219) 743-3302
(219) 661-0470
Mailing address
1100 ALLISON ST, CROWN POINT, IN 46307-7874
(219) 743-3302
(219) 661-0470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
08/03/2016
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