Individual
MRS. ELIZABETH RACHEL BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
12840 ALEXANDER STREET, CEDAR LAKE, IN 46303
(219) 374-6454
Mailing address
12840 ALEXANDER STREET, CEDAR LAKE, IN 46303
(219) 374-6454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004327A
IN
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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