Individual
SHANNON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11119 W 114TH TER, OVERLAND PARK, KS 66210-3409
(217) 242-2050
Mailing address
11119 W 114TH TER, OVERLAND PARK, KS 66210-3409
(217) 242-2050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2012015945
MO
237700000X
Hearing Instrument Specialist
Primary
2024045402
MO
Other
Enumeration date
12/15/2012
Last updated
12/20/2024
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